# SAMUEL JOSEPH SIMMONS III, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790951796
- **Authorized official:** DR. SAMUEL J. SIMMONS III M.D. (CEO)
- **Authorized official phone:** (228) 217-6989

## Contact information

- **Practice address:** 3601 BEACH BLVD, \#3, PASCAGOULA, MS 39567-7595
- **Practice address phone:** (228) 217-6989
- **Mailing address:** 3601 BEACH BLVD, \#3, PASCAGOULA, MS 39567-7595
- **Mailing address phone:** (228) 217-6989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 04941 | MS | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 03/16/2010