Provider Demographics
NPI:1124409065
Name:SIMS, CLAUDE
Entity type:Individual
Prefix:
First Name:CLAUDE
Middle Name:
Last Name:SIMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 BRANDON HILL WAY
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30238-4483
Mailing Address - Country:US
Mailing Address - Phone:678-643-8579
Mailing Address - Fax:800-976-5001
Practice Address - Street 1:918 BRANDON HILL WAY
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-4483
Practice Address - Country:US
Practice Address - Phone:678-643-8579
Practice Address - Fax:800-976-5001
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies