Individual
KRIS ALLLISON MANLOVE-SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4367 NEW SNAPFINGER WOODS DR, DECATUR, GA 30035-2920
(770) 981-2008
(770) 981-6302
Mailing address
4554 SHUMART DR, SNELLVILLE, GA 30039-8547
(770) 736-3069
(770) 981-6302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057748
LICENSE
GA
Enumeration date
10/12/2006
Last updated
09/06/2011
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