Provider Demographics
NPI:1730738600
Name:SIMS, MARGIE E
Entity type:Individual
Prefix:MRS
First Name:MARGIE
Middle Name:E
Last Name:SIMS
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 1:15 LONESOME PINE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:AL
Mailing Address - Zip Code:35135
Mailing Address - Country:US
Mailing Address - Phone:205-814-5918
Mailing Address - Fax:833-843-9550
Practice Address - Street 1:15 LONESOME PINE RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:AL
Practice Address - Zip Code:35135
Practice Address - Country:US
Practice Address - Phone:205-814-5918
Practice Address - Fax:833-843-9550
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider