Individual
FREDRICKA SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 POWERS FERRY RD SE BLDG 7, MARIETTA, GA 30067-5491
(770) 988-9200
(770) 988-9296
Mailing address
1640 POWERS FERRY RD SE BLDG 7, MARIETTA, GA 30067-5491
(770) 988-9200
(770) 988-9296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
048146575
GA
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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