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
Phone: (229) 985-1457
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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