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Contact Information

DONALD A SELPH JR, MD FACP
911 PLAZA AVENUE
SUITE D
EASTMAN, GA31023
 Phone: 478-374-5544
 Fax: 478-374-0608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DONALD A SELPH JR · (Male)

NPI # 1427163344
Status Active
Credentials MD FACP
Entity Individual
Enumeration date 08/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 042117
  • GA Medicaid 00795165A
Hospital affiliation(s)
  • DODGE COUNTY HOSPITAL - (Acute Care)
    901 GRIFFIN AVE
    EASTMAN, GA 31023
  • FAIRVIEW PARK HOSPITAL - (Acute Care)
    200 INDUSTRIAL BOULEVARD
    DUBLIN, GA 31021
  • TAYLOR REGIONAL HOSPITAL - (Acute Care)
    222 PERRY HWY
    HAWKINSVILLE, GA 31036
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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