Individual
SELINA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5617 PRINCETON AVE STE B, COLUMBUS, GA 31904-3483
(706) 257-7722
Mailing address
PO BOX 9493, COLUMBUS, GA 31908-9493
(706) 326-7986
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN073776
GA
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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