Individual
JACOB DEMARY SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
427 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-1111
(337) 234-2145
Mailing address
427 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-1111
(337) 234-2145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
322597
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2441264
—
LA
Enumeration date
03/20/2017
Last updated
01/11/2024
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