Provider Demographics
NPI:1467709378
Name:SIMS, MILSS (PCT/CNA)
Entity Type:Individual
Prefix:
First Name:MILSS
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:PCT/CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 GARNET WAY
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-6293
Mailing Address - Country:US
Mailing Address - Phone:404-574-9588
Mailing Address - Fax:
Practice Address - Street 1:3700 GARNET WAY
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6293
Practice Address - Country:US
Practice Address - Phone:404-574-9588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0030000235376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide