Individual
GODFREY SAMUEL SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT ASSISTANT
Contact information
Practice address
2729 BLACK SHOALS RD NE, CONYERS, GA 30012-1901
(404) 455-4554
(770) 760-9767
Mailing address
2729 BLACK SHOALS RD NE, CONYERS, GA 30012-1901
(404) 455-4554
(770) 760-9767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001983
GA
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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