Simmons, Katharine Regina
Simmons, Katharine Regina is an individual health care provider with primary practice located at 1349 Milstead Rd Ne , Conyers GA 30012-3871. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Simmons, Katharine Regina can be contacted via phone (770) 785-7546.Contact Information
Primary practice address
1349 Milstead Rd Ne
Conyers GA 30012-3871
Phone: (770) 785-7546
Fax: (770) 761-8521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4266 | Georgia |
Profile Details
| NPI number | 1972885192 |
|---|---|
| LBN Legal business name | Simmons, Katharine Regina |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2011 |
| Last updated | Jan 4th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972885192 | NPPES |
| Georgia | MEDICAID | 003171361A |
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