Individual
MS. MARISSA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 POINTER CT, ALLENHURST, GA 31301-2648
(912) 755-3854
Mailing address
230 DUNCAN DR BLDG 1440, SAVANNAH, GA 31409-5107
(912) 315-6500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076608
GA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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