Individual
TIARA SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 PITTMAN RD, COLUMBIA, MS 39429-7934
(601) 441-8948
Mailing address
61 PITTMAN RD, COLUMBIA, MS 39429-7934
(601) 441-8948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
914950
MS
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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