Provider Demographics
NPI:1467410621
Name:SELLS, LINNETTE J (DO)
Entity Type:Individual
Prefix:DR
First Name:LINNETTE
Middle Name:J
Last Name:SELLS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3720 HOLCOMB BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4795
Mailing Address - Country:US
Mailing Address - Phone:770-263-1000
Mailing Address - Fax:770-263-7770
Practice Address - Street 1:3720 HOLCOMB BRIDGE RD
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-4795
Practice Address - Country:US
Practice Address - Phone:770-263-1000
Practice Address - Fax:770-263-7770
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA035756207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAE19300Medicare UPIN