Mary Amanda W Sellers (NPI# 1750686523, PAC ID# 1456517564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1750686523 |
| PAC ID by PECOS | 1456517564 |
| Professional Enrollment ID | I20120718000095 |
| Full Name | Mary Amanda W Sellers |
| Organization Legal Name | GRACE MYOFASCIAL CLINIC LLC |
| Address |
113 Dees Dr D Madison MS 39110-5049 |
| Phone Number | 7692576378 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7012173263 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 113 Dees Dr D, Madison, MS 39110-5049 | 7692576378 | GRACE MYOFASCIAL CLINIC LLC |
| Organization Legal Name | GRACE MYOFASCIAL CLINIC LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Sellers | Physical Therapy | Grace Myofascial Clinic LLC | 113 Dees Dr D, Madison, MS 39110-5049 |
| Derrick Brice Smith | Physical Therapy | Grace Myofascial Clinic LLC | 113 Dees Dr D, Madison, MS 39110-5049 |
| Street Address |
113 DEES DR D |
| City | MADISON |
| State | MS |
| Zip | 39110-5049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Sellers | Physical Therapy | Grace Myofascial Clinic LLC | 113 Dees Dr D, Madison, MS 39110-5049 |
| Derrick Brice Smith | Physical Therapy | Grace Myofascial Clinic LLC | 113 Dees Dr D, Madison, MS 39110-5049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse C Ethridge | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| James H Crews | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Erica M Ory | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Lawrence S Goldstein | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Leland D Gebhart | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Lauren E Barry | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Amanda Nicols | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Barbara D Sullivan | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Thomas L Wiley | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Meredith M Travelstead | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Find all physicians in zip 39110 | |||
| City | MADISON |
| Zip Code | 39110 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MADISON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Mary Amanda W Sellers.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.