Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 1467 | SC |
NPI | 1891953956 |
---|---|
Provider Name | Dr. Thomas S Sellner |
First Address | Greenville, SC 29615-4833 |
Second Address | Greenville, SC 29615-4833 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014674 | (05) | SC |