| Doctor Name: | DEBRA M SELESKA |
| NPI Number: | 1598804197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | RN179363 |
| Business Practice Address: | 907 North Court Street Quitman, GA - 31643 |
| Business Phone Number: | 2292634531 |
| Business Fax Number: | 2292635787 |
| Mailing Address: | 920 Cairo Rd, THOMASVILLE |
| State: | GA |
| Postal Code: | 317924255 |
| Phone Number: | 2292275500 |
| Fax Number: | 2292275505 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 01/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN179363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |