Individual
MRS. BARBY JANINE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236-2500
(770) 603-3577
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060876
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
564429622A
—
GA
Enumeration date
07/23/2007
Last updated
01/07/2022
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