Individual
CLINT W SELVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2401 DECHERD BLVD, WINCHESTER, TN 37398-1164
(931) 313-1388
Mailing address
2707 SIXTEENTH MODEL RD, MANCHESTER, TN 37355-4858
(931) 570-0234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25420
TN
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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