Twila R Sellers
Individual provider Active NPI Specialist · Hiawassee, GA
NPI 1992914220 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992914220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 001289 (GA)
- Practice address
- 101 S Main St
Ste 5
Hiawassee, GA 30546-3249 - Phone
- (706) 896-2872
- Fax
- (706) 896-2873
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001289 | GA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 001289 | GA | Yes |
Addresses
Primary practice location
101 S Main St
Ste 5
Hiawassee, GA 30546-3249
Mailing address
101 S Main St
Ste 5
Hiawassee, GA 30546
Phone (706) 896-2872
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703186 | Medicaid | NC |
Other providers in Hiawassee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.