Individual
MR. TIEAREA T SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(337) 424-2244
Mailing address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(470) 652-9551
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN242663
GA
Other
Enumeration date
03/10/2015
Last updated
12/31/2023
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