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Individual
MRS. MELISSA IRBY SELBY
Active
Individual
MRS. MELISSA IRBY SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN209651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN209651
RN LIC
GA
Enumeration date
03/18/2015
Last updated
05/16/2016
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