Individual
ALISON J SIMBANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 CHELSEA LN, ACWORTH, GA 30102-1282
(470) 880-0489
Mailing address
3105 CHELSEA LN, ACWORTH, GA 30102-1282
(470) 880-0489
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19011
—
GA
Enumeration date
11/24/2022
Last updated
11/24/2022
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