Individual
CALANDRA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 VALENTINE RD NE, MILLEDGEVILLE, GA 31061-8855
(478) 251-4668
Mailing address
158 VALENTINE RD NE, MILLEDGEVILLE, GA 31061-8855
(478) 251-4668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN296122
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O
N/A
—
Enumeration date
01/31/2023
Last updated
01/31/2023
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