Provider Demographics
NPI:1114982998
Name:SELLS, DENETA H (MD)
Entity Type:Individual
Prefix:DR
First Name:DENETA
Middle Name:H
Last Name:SELLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:490 BILL KENNEDY WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-6835
Mailing Address - Country:US
Mailing Address - Phone:404-446-4726
Mailing Address - Fax:404-446-4727
Practice Address - Street 1:490 BILL KENNEDY WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-6835
Practice Address - Country:US
Practice Address - Phone:404-446-4726
Practice Address - Fax:404-446-4727
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2011-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA58200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics