Selva, Dennis A

Selva, Dennis A is an individual health care provider with primary practice located at 3780 Holcomb Bridge Rd Suite C, Norcross GA 30092-4855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Selva, Dennis A can be contacted via phone (770) 263-9101.

Contact Information

Primary practice address
3780 Holcomb Bridge Rd Suite C Norcross GA 30092-4855
Phone: (770) 263-9101
Fax: (770) 263-9102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 64234 Georgia

Profile Details

NPI number 1124040167
LBN Legal business name Selva, Dennis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 3rd, 2011 - about 14 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 1124040167 NPPES
Georgia MEDICAID 000876521F

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