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Individual

BRIAN LEE SELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
054665
GA
2086S0129X
Vascular Surgery Physician
20564
MS
2086S0129X
Vascular Surgery Physician
Primary
DO.1350
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04875221
MS
01
1496991
CIGNA
MS
01
6030889
HEALTHSPRING
MS
01
9952406
AETNA
MS
01
P00740263
RAILROAD MEDICARE
MS
Enumeration date
04/02/2007
Last updated
11/18/2025
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