Individual
MILSS SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCT/CNA
Contact information
Practice address
3700 GARNET WAY, SNELLVILLE, GA 30039-6293
(404) 574-9588
Mailing address
3700 GARNET WAY, SNELLVILLE, GA 30039-6293
(404) 574-9588
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030000235
GA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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