Doctor Name: | MRS. GEORGIA MAE SIMPSON |
NPI Number: | 1306177217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 1-021678 |
Business Practice Address: | 2400 Hospital Rd Tuskegee, AL - 360835001 |
Business Phone Number: | 3347270550 |
Business Fax Number: | |
Mailing Address: | 2201 E Clarence St, TUSKEGEE |
State: | AL |
Postal Code: | 360837104 |
Phone Number: | 3347270300 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2010 |
NPI Last Update Date: | 01/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 1-021678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |