Provider Demographics
NPI:1285402727
Name:SIMMONS, ALEXANDRIA LASHAE (CPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:LASHAE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:94 E OAKLAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CAMILLA
Mailing Address - State:GA
Mailing Address - Zip Code:31730-1529
Mailing Address - Country:US
Mailing Address - Phone:229-234-2889
Mailing Address - Fax:229-330-0701
Practice Address - Street 1:94 E OAKLAND AVE STE B
Practice Address - Street 2:
Practice Address - City:CAMILLA
Practice Address - State:GA
Practice Address - Zip Code:31730-1529
Practice Address - Country:US
Practice Address - Phone:229-234-2889
Practice Address - Fax:229-330-0701
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy