Individual
MR. GREGORY M SELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15340A COUNTY ROAD 66, LOXLEY, AL 36551-4130
(251) 964-8900
(251) 964-8901
Mailing address
15340-A COUNTY ROAD 66, LOXLEY, AL 36551-4130
(251) 964-8900
(251) 964-8901
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
AL
335E00000X
Prosthetic/Orthotic Supplier
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000680
AL STATE BOARD OF PHARMAC
AL
01
—
765
AL BOARD OF HME SERVICES
AL
01
—
9112
AL STATE LICENSE
AL
Enumeration date
06/12/2007
Last updated
12/17/2007
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