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NPI Code Detail

MEDICARE: MRS. CHRISTY LITTLE SIMS NP

MEDICARE: MRS. CHRISTY LITTLE SIMS NP
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
1363L00000XNurse PractitionerRN 057867 NPGA

General Provider Information

NPI Number : 1023144979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTY LITTLE SIMS NP
Provider Business Mailing Address
First Line : 644 TALLULAH TRL
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-7625
Country : US
Telephone Number : 478-302-5237
Fax Number : 478-302-5243
Provider Business Practice Location Address
First Line : 644 TALLULAH TRL
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-7625
Country : US
Telephone Number : 478-302-5237
Fax Number : 478-302-5243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 09/12/2013

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