Individual
MS. ANGELA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAOD
Contact information
Practice address
107 WALTER PAYTON DR STE 174, COLUMBIA, MS 39429-3738
(601) 810-8519
Mailing address
107 WALTER PAYTON DR STE 174, COLUMBIA, MS 39429-3738
(601) 810-8519
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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