| Donald A. Selph Jr.md Pc | |
|
911 Plaza Ave Suite D Eastman GA 31023-6785 | |
| (478) 374-5544 | |
| (478) 374-0608 |
| Full Name | Donald A. Selph Jr.md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 911 Plaza Ave, Eastman, Georgia |
| Authorized Official Name and Position | Paula Selph (OFFICE MANAGER) |
| Authorized Official Contact | 4783745544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald A. Selph Jr.md Pc 911 Plaza Ave Suite D Eastman GA 31023-6785 Ph: (478) 374-5544 | Donald A. Selph Jr.md Pc 911 Plaza Ave Suite D Eastman GA 31023-6785 Ph: (478) 374-5544 |
| NPI Number | 1669705877 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 09/08/2009 |
| Medicare PECOS PAC ID | 9739235664 |
|---|---|
| Medicare Enrollment ID | O20090918000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669705877 | NPI | - | NPPES |
| 00795165A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042117 (Georgia) | Primary |
| Provider Name | Donald A Selph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427163344 PECOS PAC ID: 8921154857 Enrollment ID: I20090918000080 |
Mid Georgia Total Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Griffin Ave, Ste 1b, Eastman, GA 31023 Phone: 478-374-8998 Fax: 478-374-8525 | |
Middle Georgia Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 829 Plaza Ave, Eastman, GA 31023 Phone: 478-374-9309 Fax: 478-374-3310 | |
Careconnect Convenient Care And Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 817 Griffin Ave, Eastman, GA 31023 Phone: 478-374-1801 Fax: 478-448-4586 | |
Eastman Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Griffin Ave, Suites A, Eastman, GA 31023 Phone: 478-374-0020 Fax: 478-374-2937 | |
Eastman Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 Plaza Ave, Eastman, GA 31023 Phone: 478-448-4435 Fax: 478-374-0337 | |
Heather T Herrington Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-8737 Fax: 478-374-8823 | |
Eastman Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Professional Center Dr, Eastman, GA 31023 Phone: 478-374-7801 Fax: 478-374-7878 |