Carla Jai Simmons
NPI #1699286260 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1699286260
- Entity Type
- Individual
- Name
- Carla Jai Simmons
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 23, 2017
- Last Updated
- Oct 23, 2017
Practice Location
- Address
- 1300 BRAGG BLVD STE 1318
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28301-4296
- Phone
- (910) 824-2339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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