Individual
DR. LARKIN L SELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3155 MAPLEWOOD AVENUE, WINSTON SALEM, NC 27103
(336) 794-4372
(336) 659-2379
Mailing address
3155 MAPLEWOOD AVENUE, WINSTON SALEM, NC 27103
(336) 794-4372
(336) 659-2379
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39996
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897519E
—
NC
05
—
89751E
—
NC
Enumeration date
05/25/2006
Last updated
10/20/2010
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