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Individual

CAROL C SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
452 SECOND ST, SOPERTON, GA 30457-3004
(912) 529-5533
(912) 529-5535
Mailing address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 237-2638
(478) 237-9138

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN069115 NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111830
UGS-SWAINSBORO
GA
01
111887
UGS-REIDSVILLE
GA
01
111889
UGS-SOPERTON
GA
Enumeration date
07/31/2006
Last updated
02/13/2017
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