Individual
PATRICE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2148 DULUTH HWY STE 108, DULUTH, GA 30097-4504
(678) 570-5267
Mailing address
1489 BOX CIR, WINDER, GA 30680-8373
(678) 570-5267
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CO088164
GA
224P00000X
Prosthetist
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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