Individual
ANGELA SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2479 PEACHTREE RD NE, APT 917, ATLANTA, GA 30305-4121
(770) 861-5259
Mailing address
2479 PEACHTREE RD NE, APT 917, ATLANTA, GA 30305-4121
(770) 861-5259
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN077777
GA
Other
Enumeration date
06/03/2011
Last updated
07/10/2014
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