Individual
MELANIE HOPE SIMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
815 AUSTIN DR, DEMOREST, GA 30535-4513
(706) 754-6224
(706) 754-6606
Mailing address
815 AUSTIN DR, DEMOREST, GA 30535-4513
(706) 754-6224
(706) 754-6606
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049595
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00912766A
—
GA
01
—
049595
STATE LICENSE NUMBER
GA
01
—
52843798001
BLUE CROSS BLUE SHIELD
GA
Enumeration date
12/14/2005
Last updated
07/08/2007
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