Individual
MR. DONALD ANTHONY SELPH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
911 PLAZA AVENUE, SUITE D, EASTMAN, GA 31023
(478) 374-5544
(478) 374-0608
Mailing address
911 PLAZA AVENUE, SUITE D, EASTMAN, GA 31023
(478) 374-5544
(478) 374-0608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00795165A
—
GA
Enumeration date
08/20/2006
Last updated
07/08/2007
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