Individual
DR. EBONY L SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7668
(404) 844-3819
(404) 844-3637
Mailing address
1400 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7668
(404) 844-3819
(404) 844-3637
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH023052
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH023052
GEORGIA STATE BOARD OF PHARMACY
GA
Enumeration date
05/31/2012
Last updated
05/31/2012
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