Individual
MR. EDDIE LEE SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556551821E
—
GA
05
—
556551821G
—
GA
Enumeration date
06/15/2007
Last updated
01/11/2018
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