Individual
MR. SAMUEL THWING SELDEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PKWY, STE 309, CHESAPEAKE, VA 23320-4911
(757) 547-9241
(757) 547-5741
Mailing address
200 MEDICAL PKWY, STE 309, CHESAPEAKE, VA 23320-4911
(757) 547-9241
(757) 547-5741
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101033093
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5996937
—
VA
Enumeration date
09/21/2005
Last updated
07/08/2007
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