Provider Demographics
NPI:1912536145
Name:CHRISTOPHER R. SELLARS, DO, LLC
Entity Type:Organization
Organization Name:CHRISTOPHER R. SELLARS, DO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SELLARS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-524-7716
Mailing Address - Street 1:4989 PEACHTREE PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2589
Mailing Address - Country:US
Mailing Address - Phone:770-713-6480
Mailing Address - Fax:678-868-9519
Practice Address - Street 1:4989 PEACHTREE PKWY STE 120
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2589
Practice Address - Country:US
Practice Address - Phone:770-713-6480
Practice Address - Fax:678-868-9519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Single Specialty