Individual
TAMMY LISA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
655 7TH ST BLDG 700/700-A, 78 MDG/DENTAL HYGIENIST, ROBINS AFB, GA 31098-2227
(478) 327-8056
Mailing address
111 BALLYHARA, WARNER ROBINS, GA 31088-2728
(478) 327-8056
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
NODH004569
GA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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