Scotty Simmons is a Driver based in Milledgeville, GA. Scotty Simmons practices in Milledgeville, GA. The NPI Number for Scotty Simmons is 1467066712 and holds a License No. (Georgia).
The current practice location address for Scotty Simmons is 320 Cicada Dr Se, Milledgeville, GA and can be reached out via phone at 912-424-4467.
Location: 320 Cicada Dr Se, Milledgeville, GA, 31061-5941
Provider Profile Details
NPI Number
1467066712
Provider Name
Scotty Simmons
Credential
Provider Entity Type
Individual
Gender
Male
Address
320 Cicada Dr Se, Milledgeville, GA, 31061-5941
Phone Number
912-424-4467
Fax Number
Provider Enumeration Date
09/03/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | 05 | GA |
Provider Business Practice Location Address Details
Address
320 Cicada Dr Se
City
State
Zip
31061-5941
Phone Number
912-424-4467
Fax Number
Provider Business Mailing Address Details
Address
320 Cicada Dr Se
City
State
Zip
31061-5941
Phone Number
912-424-4467
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
(Georgia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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