Selph, Donald Anthony

Selph, Donald Anthony is an individual health care provider with primary practice located at 911 Plaza Avenue Suite D, Eastman GA 31023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Selph, Donald Anthony can be contacted via phone (478) 374-5544.

Contact Information

Primary practice address
911 Plaza Avenue Suite D Eastman GA 31023
Fax: (478) 374-0608
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042117 Georgia

Profile Details

NPI number 1427163344
LBN Legal business name Selph, Donald Anthony
Credentials MD FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1427163344 NPPES
Georgia MEDICAID 00795165A

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