Individual
MIA L SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6650 RIVERS AVE, NORTH CHARLESTON, SC 29406-4809
(803) 906-2655
Mailing address
6650 RIVERS AVE, NORTH CHARLESTON, SC 29406-4809
(803) 906-2655
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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