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Organization
SAMUEL JOSEPH SIMMONS III, INC.
Active
Organization
SAMUEL JOSEPH SIMMONS III, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL J. SIMMONS III M.D. (CEO)
(228) 217-6989
Entity
Organization
Contact information
Practice address
3601 BEACH BLVD, #3, PASCAGOULA, MS 39567-7595
(228) 217-6989
Mailing address
3601 BEACH BLVD, #3, PASCAGOULA, MS 39567-7595
(228) 217-6989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04941
MS
Other
Enumeration date
04/30/2008
Last updated
03/16/2010
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