Individual
IMANI SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 SOUTHWIND DR, TENNILLE, GA 31089-3273
(478) 357-1292
Mailing address
22 SOUTHWIND DR, TENNILLE, GA 31089-3273
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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