Provider Demographics
NPI:1316284177
Name:SIMMS, SYLVIA MICHELLE (RPH)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:MICHELLE
Last Name:SIMMS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3721 NEW MACLAND RD
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-1966
Mailing Address - Country:US
Mailing Address - Phone:770-222-2778
Mailing Address - Fax:770-222-2485
Practice Address - Street 1:3721 NEW MACLAND RD
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-1966
Practice Address - Country:US
Practice Address - Phone:770-222-2778
Practice Address - Fax:770-222-2485
Is Sole Proprietor?:No
Enumeration Date:2013-01-13
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH017959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist