Individual
JOHN SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
17 WHITE ST, CLEVELAND, GA 30528-1140
(706) 865-4001
(706) 865-6268
Mailing address
PO BOX 657, DEMOREST, GA 30535-0657
(706) 865-4001
(706) 865-6268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001266
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000487E
—
GA
Enumeration date
01/11/2006
Last updated
11/29/2010
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