Sims, Gregory Richard

Sims, Gregory Richard is an individual health care provider with primary practice located at 5001 Hardy St , Hattiesburg MS 39402-1308. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Sims, Gregory Richard can be contacted via phone (601) 268-8140.

Contact Information

Primary practice address
5001 Hardy St Hattiesburg MS 39402-1308
Phone: (601) 268-8140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN0000010910 Tennessee
Nursing Service Providers / Registered Nurse 163W00000X RN0000136483 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X A810169 Mississippi
Nursing Service Providers / Critical Care Medicine 163WC0200X RN863786 Mississippi

Profile Details

NPI number 1669475315
LBN Legal business name Sims, Gregory Richard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 10th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669475315 NPPES
Mississippi MEDICAID 04927221
Mississippi MEDICAID 1034592

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