Individual
CINDY MARIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 NORTH PINE STREET, TRENTON, GA 30752
(706) 657-3360
(706) 657-4400
Mailing address
12978 N. MAIN STREET, TRENTON, GA 30752
(706) 657-4183
(706) 657-4270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1260
TN
363A00000X
Physician Assistant
Primary
2943
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181516355A
—
GA
Enumeration date
12/08/2006
Last updated
12/10/2015
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