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SHERRIAL RENAY SIMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1701 5TH AVENUE, CHARLESTOWN, WV 25312
(304) 414-4499
(304) 414-4498
Mailing address
301 6 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560
(304) 757-6999
(304) 757-3252

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1834
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001721068
MS BCBS
WV
05
1840696000
WV
01
7398338
AETNA
WV
Enumeration date
01/10/2006
Last updated
03/18/2009
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