Individual
SIMMON GATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,
Contact information
Practice address
2009 BALLYMEADE LN, HAMPTON, GA 30228-3654
(678) 479-9775
Mailing address
2009 BALLYMEADE LN, HAMPTON, GA 30228-3654
(678) 479-9775
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2977
GA
Other
Enumeration date
11/26/2007
Last updated
04/13/2015
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