Individual
TWILA R SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MAIN ST, STE 5, HIAWASSEE, GA 30546-3249
(706) 896-2872
(706) 896-2873
Mailing address
101 S MAIN ST, STE 5, HIAWASSEE, GA 30546
(706) 896-2872
(706) 896-2873
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001289
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703186
—
NC
Enumeration date
05/22/2007
Last updated
07/08/2007
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