Individual
DEBRA IMANI SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 PLEASANT HOME RD STE A1, AUGUSTA, GA 30907-0545
(832) 205-7896
Mailing address
2301 BUTTERNUT CT, AUGUSTA, GA 30909-8400
(832) 205-7896
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO126891
GA
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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