Individual
DENNIS A SELVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3780 HOLCOMB BRIDGE RD, SUITE C, NORCROSS, GA 30092-4855
(770) 263-9101
(770) 263-9102
Mailing address
3780 HOLCOMB BRIDGE RD, SUITE C, NORCROSS, GA 30092-4855
(770) 263-9101
(770) 263-9102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
64234
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876521F
—
GA
Enumeration date
07/25/2006
Last updated
03/03/2011
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