Individual
ERIC SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-6996
(919) 416-5808
Mailing address
117 LANIER VALLEY DR, DURHAM, NC 27703-2914
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
00-6447
SC
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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