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DARRELL NICHOLAS SIMONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5730 GLENRIDGE DR NE, SUITE 100, SANDY SPRINGS, GA 30328-6141
(404) 816-3000
(678) 904-5797
Mailing address
790 CHURCH ST NE, SUITE 550, MARIETTA, GA 30060-7282
(770) 419-9902
(770) 419-7457

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
045966
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000802018A
GA
01
1710946322
GROUP NPI NUMBER
GA
01
1873942
CIGNA
GA
Enumeration date
04/17/2006
Last updated
08/31/2010
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