Individual
MR. STANLEY WINFRED SIMMONS JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
426 4TH ST W APT D2, SOUTH POINT, OH 45680-9301
(256) 328-4056
Mailing address
426 4TH ST W APT D2, SOUTH POINT, OH 45680-9301
(256) 328-4056
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1-189971
AL
Other
Enumeration date
12/26/2021
Last updated
07/04/2024
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