| Doctor Name: | ANGELA A SIMMONS-BUTLER |
| NPI Number: | 1124285432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP C |
| License Number: | RN123336 |
| Business Practice Address: | 541 Historic Hwy 441n Demorest, GA - 305351742 |
| Business Phone Number: | 7067543113 |
| Business Fax Number: | |
| Mailing Address: | Po Box 459, COLBERT |
| State: | GA |
| Postal Code: | 306280459 |
| Phone Number: | 7067883234 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2008 |
| NPI Last Update Date: | 07/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN123336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |