Individual
MARQUISE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1701 15TH ST, AUGUSTA, GA 30901-3931
(706) 737-7360
Mailing address
1220 W WHEELER PKWY STE B, AUGUSTA, GA 30909-1895
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003447
GA
390200000X
Student in an Organized Health Care Education/Training Program
911300891
GA
Other
Enumeration date
12/15/2016
Last updated
03/26/2019
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