Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | CHIR008067 | GA |
NPI | 1598932147 |
---|---|
Provider Name | Dr. Nancy Ann P'simer |
First Address | Kennesaw, GA 30152-4265 |
Second Address | Marietta, GA 30064-6425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2008 |
Last Update Date | 06/05/2009 |