Dr Debra S Selby, MD | |
1 Sweet Bay Ct Ste A, Moultrie, GA 31768-6713 | |
(229) 985-1457 | |
Not Available |
Full Name | Dr Debra S Selby |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1 Sweet Bay Ct Ste A, Moultrie, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043283666 | NPI | - | NPPES |
113084 | Other | TN | BHP (UNISON) |
141151 | Other | TN | BLUE CROSS BLUE SHIELD |
12063 | Other | TN | TLC |
3067653 | Medicaid | TN | |
4303047 | Other | TN | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD23532 (Tennessee) | Primary |
Entity Name | Colquitt Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912099094 PECOS PAC ID: 6204821796 Enrollment ID: O20040415000368 |
Mailing Address | Practice Location Address |
---|---|
Dr Debra S Selby, MD 1 Sweet Bay Ct Ste A, Moultrie, GA 31768-6713 Ph: (229) 985-1457 | Dr Debra S Selby, MD 1 Sweet Bay Ct Ste A, Moultrie, GA 31768-6713 Ph: (229) 985-1457 |
Dr. Holly M Van De Voort, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Hospital Park, Moultrie, GA 31768 Phone: 229-985-3320 | |
Dr. Buford Otto Edwards Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 760 26th Ave Se, Moultrie, GA 31768 Phone: 229-985-1457 Fax: 229-890-9430 | |
Dr. Patricia Lee June, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1317 S Main St, Moultrie, GA 31768 Phone: 229-985-7177 Fax: 229-890-5373 | |
Dr. Anthony Adebayo Adetomiwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-891-9131 |