Tiearea T Sims AGACNP-BC

NPI 1215320692 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1215320692
Gender Male
Enumeration Date 03/10/2015
Last Updated 03/01/2016
Entity Type Individual
Active Over 1 year ago
Practice Location
600 CELEBRATE LIFE PKWY
NEWNAN GA, 30265-8001, US
Phone (337) 424-2244
Fax
Business Location
600 CELEBRATE LIFE PKWY
NEWNAN GA, 30265-8001, US
Phone (337) 424-2244
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Georgia
License Number RN242663
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According to our database, Mr. Tiearea T Sims AGACNP-BC NPI is 1215320692, taxonomy code is 363LA2100X and license number is RN242663, license state is located at Georgia. Tiearea T Sims AGACNP-BC physically located at 600 Celebrate Life Pkwy, Newnan GA, 30265-8001. NPI Number Tiearea T Sims AGACNP-BC has the Individual type.

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1215320692 NPI number is provided on an as is basis without warranty of any kind. 1215320692 is maintained by the National Plan & Provider Enumeration System. The contents of Tiearea T Sims AGACNP-BC are for informational purposes only.