MEDICARE: MRS. GEORJENA RENEE SELVA RD, LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	756	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5Y286	OTHER	AR	MNT PROVIDER

General Provider Information

NPI Number	:	1780611780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GEORJENA RENEE SELVA RD, LD

Provider Business Mailing Address
First Line	:	1620 KAVANAUGH BLVD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-4116
Country	:	US
Telephone Number	:	501-346-7856
Fax Number	:

Provider Business Practice Location Address
First Line	:	BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
Second Line	:	9601 INTERSTATE 630, EXIT 7
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205
Country	:	US
Telephone Number	:	501-202-1889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1629923149 — CAPITOL ORAL SURGERY & IMPLANT CENTER ASC, LLC
Practice Location Address:

5 SAINT VINCENT CIR STE 100
LITTLE ROCK, AR
72205-5415

Practice Phone: 501-216-4111
Practice Fax:

1598393696 — SARA R. GOLDSHOLL MD
Practice Location Address:

9601 BAPTIST HEALTH DR STE 500
LITTLE ROCK, AR
72205-6341

Practice Phone: 501-227-5885
Practice Fax: 501-227-5005

1891436598 — MOLLY WOOTTEN DO
Practice Location Address:

4301 W MARKHAM ST # 589
LITTLE ROCK, AR
72205-7101

Practice Phone: 501-526-8148
Practice Fax:

1295680650 — JULIA NICHOLE BAMMANN
Practice Location Address:

1900 ALDERSGATE RD
LITTLE ROCK, AR
72205-6620

Practice Phone: 501-821-5459
Practice Fax:

1942280888 — DR. JOHN PATTON BATSON DDS
Practice Location Address:

5 SAINT VINCENT CIR STE 100
LITTLE ROCK, AR
72205-5415

Practice Phone: 501-904-8282
Practice Fax:

1215882451 — LEANDRA LYNETTE GLOVER
Practice Location Address:

1900 ALDERSGATE RD
LITTLE ROCK, AR
72205-6620

Practice Phone: 501-821-5459
Practice Fax:

1548674583 — MRS. KALAIVANI SIVAKUMAR M.D.,
Practice Location Address:

4301 W MARKHAM ST # 532
LITTLE ROCK, AR
72205-7101

Practice Phone: 501-686-5311
Practice Fax: 501-686-5935

Directions to “ MRS. GEORJENA RENEE SELVA RD, LD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.