Provider Demographics
NPI:1295333003
Name:RIMMER, JOYCE SHREVES
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:SHREVES
Last Name:RIMMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4032 WALKERS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-4630
Mailing Address - Country:US
Mailing Address - Phone:404-316-0648
Mailing Address - Fax:
Practice Address - Street 1:4025 WINDER HWY
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-3022
Practice Address - Country:US
Practice Address - Phone:770-539-5030
Practice Address - Fax:770-539-5949
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA171781835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist