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NPI Code Detail

MEDICARE: DR. ANGELA MARQUIS SIMS PHD

MEDICARE: DR. ANGELA MARQUIS SIMS PHD
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
1103TC2200XClinical Child & Adolescent PsychologistPSY003208GA
2103TM1800XIntellectual & Developmental Disabilities PsychologistPSY003208GA
3103TC0700XClinical PsychologistPSY003208GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225034846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA MARQUIS SIMS PHD
Provider Business Mailing Address
First Line : 2022 FIFTEENTH AVENUE
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1608
Country : US
Telephone Number : 706-649-6500
Fax Number : 706-649-6521
Provider Business Practice Location Address
First Line : 2022 FIFTEENTH AVENUE
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1608
Country : US
Telephone Number : 706-649-6500
Fax Number : 706-649-6521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 08/03/2012

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