Individual
TIMOTHY SCOTT SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E-2598
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146214001
—
AR
01
—
19602000010
QUALCHOICE
—
01
—
5L974
BCBS
—
01
—
P00247354
RAILROAD MEDICARE
—
Enumeration date
10/13/2006
Last updated
02/25/2008
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