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Individual

MARTIN D SIMMS

Active
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Individual

MARTIN D SIMMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27873
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000741749
GA
05
009804510
AL
01
300064457
RR MCARE-CI
TN
01
300064460
RR MCARE-ADR
TN
01
3045641
ADR BC/BS OF TN
TN
01
3048172
PLAZA BC/BS OF TN
TN
05
Q003738
TN
Enumeration date
07/12/2006
Last updated
03/09/2021
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