Provider Demographics
NPI:1538997267
Name:SELYM & ASSOCIATES LLC
Entity type:Organization
Organization Name:SELYM & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MYLES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-452-2313
Mailing Address - Street 1:PO BOX 286
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31702-0286
Mailing Address - Country:US
Mailing Address - Phone:215-452-2313
Mailing Address - Fax:
Practice Address - Street 1:2282 NOTTINGHAM WAY
Practice Address - Street 2:# 3
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707
Practice Address - Country:US
Practice Address - Phone:229-304-5261
Practice Address - Fax:229-304-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty