Kelly-Seltzer, Samantha
Kelly-Seltzer, Samantha is an individual health care provider with primary practice located at 7203 Hodgson Memorial Dr Ste A , Savannah GA 31406-1525. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kelly-Seltzer, Samantha can be contacted via phone (912) 352-9356.Contact Information
Primary practice address
7203 Hodgson Memorial Dr Ste A
Savannah GA 31406-1525
Phone: (912) 352-9356
Fax: (912) 352-9105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT001892 | Georgia |
Profile Details
| NPI number | 1023070588 |
|---|---|
| LBN Legal business name | Kelly-Seltzer, Samantha |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Apr 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023070588 | NPPES |
| Georgia | MEDICAID | 881256974A |
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