Simmons, Scotty
Simmons, Scotty is an individual health care provider with primary practice located at 320 Cicada Dr Se , Milledgeville GA 31061-5941. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Simmons, Scotty can be contacted via phone (912) 424-4467.Contact Information
Primary practice address
320 Cicada Dr Se
Milledgeville GA 31061-5941
Phone: (912) 424-4467
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | Georgia |
Profile Details
| NPI number | 1467066712 |
|---|---|
| LBN Legal business name | Simmons, Scotty |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2020 |
| Last updated | Aug 10th, 2021 - about 5 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 | 1467066712 | NPPES |
| Georgia | MEDICAID | NA |
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