Individual
CARMEN NICOLE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-3648
Mailing address
PO BOX 281491, ATLANTA, GA 30384-1491
(770) 321-2570
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN159666
GA
Other
Enumeration date
02/28/2008
Last updated
03/03/2008
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