Organization
DONALD A. SELPH JR.MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA SELPH (OFFICE MANAGER)
(478) 374-5544
Entity
Organization
Contact information
Practice address
911 PLAZA AVE, SUITE D, EASTMAN, GA 31023-6785
(478) 374-5544
(478) 374-0608
Mailing address
911 PLAZA AVE, SUITE D, EASTMAN, GA 31023-6785
(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
09/08/2009
Last updated
09/08/2009
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