Individual
MRS. MARY SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1310 13TH AVE, COLUMBUS, GA 31901-2335
(706) 321-0476
(706) 321-2508
Mailing address
1310 13TH AVE, COLUMBUS, GA 31901-2335
(706) 321-0476
(706) 321-2508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001750
GA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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