Individual
SIDNEY MARVIN SELTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9304 MEDICAL PLAZA DR STE D, CHARLESTON, SC 29406-9143
(843) 820-2020
(843) 797-5512
Mailing address
9304 MEDICAL PLAZA DR STE D, CHARLESTON, SC 29406-9143
(843) 820-2020
(843) 797-5512
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5618
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1522
MEDICARE
SC
01
—
CL2394
RAILROAD MEDICARE
SC
05
—
PA1603
—
SC
Enumeration date
10/22/2007
Last updated
11/20/2009
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