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Individual
JENNIFER C SIMMONS
Active
Individual
JENNIFER C SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205352
—
SC
01
—
571004971004
BCBS OF SC
SC
01
—
7657126
AETNA
SC
Enumeration date
06/13/2006
Last updated
02/19/2018
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