Individual
BRIAN LEE SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3246 RIVERSTONE DR, MARTINEZ, GA 30907-9291
(912) 253-2032
Mailing address
3246 RIVERSTONE DR, MARTINEZ, GA 30907-9291
(912) 253-2032
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014969
GA
Other
Enumeration date
02/22/2015
Last updated
09/22/2021
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