Individual
MR. SAMUEL PAUL SELLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 NORTH MAIN STREET, SUITE A, SHELBYVILLE, TN 37160
(931) 684-2770
(931) 684-2774
Mailing address
PO BOX 767, SHELBYVILLE, TN 37162
(931) 684-2770
(931) 684-2774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10299
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004328
BCBS OF TN
—
01
—
2771119
CIGNA
—
Enumeration date
08/31/2006
Last updated
07/23/2007
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