Individual
DR. MERRY ELLEN SEBELIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1135, ATLANTA, GA 30308-2212
(404) 727-9610
(404) 712-1540
Mailing address
550 PEACHTREE ST NE, SUITE 1135, ATLANTA, GA 30308-2212
(404) 727-9610
(404) 712-1540
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
31659
TN
207Y00000X
Otolaryngology Physician
ME97014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56616
BCBS
FL
01
—
P00380951
RAILROAD MEDICARE
FL
Enumeration date
06/21/2005
Last updated
08/07/2016
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