Provider Demographics
NPI:1245213883
Name:SIMPSON, MARIANN (PA)
Entity Type:Individual
Prefix:
First Name:MARIANN
Middle Name:
Last Name:SIMPSON
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Gender:F
Credentials:PA
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Mailing Address - Street 1:3400C OLD MILTON PKWY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3707
Mailing Address - Country:US
Mailing Address - Phone:770-442-1911
Mailing Address - Fax:770-663-8905
Practice Address - Street 1:1100 NORTHSIDE FORSYTH DR
Practice Address - Street 2:SUITE 240
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6012
Practice Address - Country:US
Practice Address - Phone:678-947-6440
Practice Address - Fax:678-947-0172
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2008-10-20
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Provider Licenses
StateLicense IDTaxonomies
GA004431363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant