MEDICARE: CLAUDE SIMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1124409065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDE SIMS

Provider Business Mailing Address
First Line	:	918 BRANDON HILL WAY
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30238-4483
Country	:	US
Telephone Number	:	678-643-8579
Fax Number	:	800-976-5001

Provider Business Practice Location Address
First Line	:	918 BRANDON HILL WAY
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30238-4483
Country	:	US
Telephone Number	:	678-643-8579
Fax Number	:	800-976-5001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	06/16/2015

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Directions to “ CLAUDE SIMS ” Practice Location

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