Individual
MRS. PHAEDRA D SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3885 PRINCETON LAKES WAY SW, ATLANTA, GA 30331-5589
(770) 929-9033
Mailing address
252 MADISON PARK DR, GRAYSON, GA 30017-7813
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024169561
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN168566
GA
Other
Enumeration date
08/11/2011
Last updated
05/31/2022
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