Individual
ANNA CAROL PORTER SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8225 MALL PKWY STE 150, LITHONIA, GA 30038-7103
(863) 221-2620
Mailing address
4680 MATTHEWS PARK DR, SNELLVILLE, GA 30039-7100
(863) 221-2620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002617
GA
2255A2300X
Athletic Trainer
AT979
KY
Other
Enumeration date
07/09/2014
Last updated
02/28/2021
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