Individual
DEANDRE OMAR SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HAMILTON POINTE DR STE 115, BYRON, GA 31008-6271
(478) 845-3520
Mailing address
PO BOX 1552, BYRON, GA 31008-1552
(478) 845-3520
(478) 956-0958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007452
GA
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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