Individual
DEBBIE SPEED-SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 767-4909
Mailing address
1227 LANGSTON LN, HINESVILLE, GA 31313
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
LPN065444
GA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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