Individual
WILLIAM LAWRENCE SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
68 HOSPITAL RD, SYLVA, NC 28779-2722
(540) 586-7114
Mailing address
PO BOX 409, BLUEFIELD, WV 24701-0409
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
39083
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
39083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220021244
RAILROAD MEDICARE
—
01
—
75169
BCBS OF NC
NC
05
—
8975169
—
NC
Enumeration date
05/10/2006
Last updated
06/12/2013
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