Individual provider · NPI-1

Anna Carol Porter Simpson, ATC

Specialist/Technologist, Athletic Trainer · Lithonia, GA

NPI number1972919074
StatusActive
Last updated in NPPESFeb 28, 2021

Details

NPI
1972919074
Entity type
Individual (NPI-1)
Name
Anna Carol Porter Simpson
Credential
ATC
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2014
Certification date
Feb 28, 2021
Last updated
Feb 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT002617GAYes
2255A2300X Specialist/Technologist, Athletic TrainerAT979KY

Other names

  • Anna Carol Porter (Former Name)

Practice location

8225 Mall Pkwy Ste 150
Lithonia, GA 30038-7103

Phone 863-221-2620

Mailing address

4680 Matthews Park Dr
Snellville, GA 30039-7100

Phone 863-221-2620

Other practice locations

141 E College Ave
Decatur, GA 30030-3770

Phone 863-221-2620

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