Individual
WALTER JASON SELVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
Mailing address
1514 VERNON RD, WELLSTAR MEDICAL GROUP HOSPITAL MEDICINE, LAGRANGE, GA 30240
(706) 882-1411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
85338
GA
208M00000X
Hospitalist Physician
Primary
85338
GA
Other
Enumeration date
06/21/2017
Last updated
10/01/2020
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