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Individual

MR. GARY K SELLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6257 WHITE HORSE ROAD, GREENVILLE, SC 29611
(864) 246-6060
(864) 246-0495
Mailing address
6257 WHITE HORSE ROAD, GREENVILLE, SC 29611
(864) 246-6060
(864) 246-0495

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12697
SC
207Q00000X
Family Medicine Physician
Primary
126973
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126973
SC
Enumeration date
09/20/2006
Last updated
01/10/2012
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