Individual
AUDREY SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6063
Mailing address
162 JAY BIRD DR, GLENNVILLE, GA 30427-4824
(912) 237-2667
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
—
GA
2471C3402X
Radiography Radiologic Technologist
Primary
—
GA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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