Individual
GRETA FAY SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
404 REVERE ST, KINGSPORT, TN 37660-3671
(423) 246-4600
(423) 246-3311
Mailing address
147 QUILLEN DR, GATE CITY, VA 24251-3318
(276) 386-2572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000002127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3077628
BLUECROSS BLUESHIELD
TN
Enumeration date
07/13/2006
Last updated
07/08/2007
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