Individual
DR. TIM MARKAM SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
500 N PARRISH AVE, ADEL, GA 31620-2036
(229) 896-4596
(229) 896-5437
Mailing address
500 N PARRISH AVE, ADEL, GA 31620-2036
(229) 896-4596
(229) 896-5437
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1701
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00813458D
—
GA
01
—
25005
AVESIS
GA
01
—
26755
SPECTERA
GA
01
—
88098
AVESIS
GA
01
—
GA1701
EYEMED VISION CARE
GA
Enumeration date
01/03/2007
Last updated
07/08/2007
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