Search › Georgia › 207RR0500X

Jison Sim, D.O

NPI 1851590806 · on the registry since 2007 · sole proprietor

Practice

Address
300 W Hospital Rd
Fort Gordon, GA 30905
Phone
(706) 787-4154
Organisation at this address
Ddeamc
Amc Eisenhower
United States Army
United States Army
United States Army
Inferred from a shared address, not stated in the registry.
Clinicians at this address
273

Registry record

Primary taxonomy
207RR0500X
207RR0500X
Also registered as
207R00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia