Selby, Debra S

Selby, Debra S is an individual health care provider with primary practice located at 1 Sweet Bay Ct Ste A , Moultrie GA 31768-6713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Selby, Debra S can be contacted via phone (229) 985-1457.

Contact Information

Primary practice address
1 Sweet Bay Ct Ste A Moultrie GA 31768-6713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD23532 Tennessee

Profile Details

NPI number 1043283666
LBN Legal business name Selby, Debra S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jan 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043283666 NPPES
Tennessee Other 113084 BHP (UNISON)
Tennessee Other 141151 BHP (UNISON)
Tennessee Other 12063 BHP (UNISON)
Tennessee MEDICAID 3067653 BHP (UNISON)
Tennessee Other 4303047 BHP (UNISON)

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