Individual
LAVONE E SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
980 JOHNSON FERRY RD, SUITE 660, ATLANTA, GA 30342-1626
(404) 857-1580
(404) 303-2015
Mailing address
980 JOHNSON FERRY RD, SUITE 660, ATLANTA, GA 30342-1626
(404) 857-1580
(404) 303-2015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD60036782
WA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
72124
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239553
L&I
WA
05
—
1093825911
—
WA
Enumeration date
08/30/2006
Last updated
11/19/2014
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