Individual
MS. SELINA GREATHOUSE WOOLVERTON
Active
Individual
MS. SELINA GREATHOUSE WOOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA269
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51527773
ALABAMA BLUE CROSS
AL
01
—
P00393710
RAILROAD MEDICARE
AL
Enumeration date
06/04/2006
Last updated
01/17/2008
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