Sims, Lisa

Sims, Lisa is an individual health care provider with primary practice located at 203 Medical Blvd , Stockbridge GA 30281-7218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sims, Lisa can be contacted via phone (770) 892-0273.

Contact Information

Primary practice address
203 Medical Blvd Stockbridge GA 30281-7218
Phone: (770) 892-0273
Fax: (470) 878-1495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN1155250 Georgia

Profile Details

NPI number 1235341017
LBN Legal business name Sims, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Oct 14th, 2015 - about 10 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 1235341017 NPPES
Georgia MEDICAID 003144411B
Georgia MEDICAID 003144411A

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