Provider Demographics
NPI:1841873866
Name:M SELLERS, ALISHA (CCMA)
Entity type:Individual
Prefix:MS
First Name:ALISHA
Middle Name:
Last Name:M SELLERS
Suffix:
Gender:F
Credentials:CCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7540 HIGHWAY 64 W
Mailing Address - Street 2:
Mailing Address - City:BRASSTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:28902-8079
Mailing Address - Country:US
Mailing Address - Phone:828-837-5335
Mailing Address - Fax:828-604-7030
Practice Address - Street 1:7540 HIGHWAY 64 W
Practice Address - Street 2:
Practice Address - City:BRASSTOWN
Practice Address - State:NC
Practice Address - Zip Code:28902-8079
Practice Address - Country:US
Practice Address - Phone:828-837-5335
Practice Address - Fax:828-604-7030
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program