Individual
MICHAEL GRAYSON SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-8430
Mailing address
750 BYRON RD, SCOTTSBORO, AL 35769-4051
(256) 259-8765
(256) 716-8060
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
17993
AL
208800000X
Urology Physician
Primary
93682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00820619C
—
GA
05
—
106277
—
AL
05
—
106278
—
AL
05
—
256068200
—
FL
Enumeration date
09/14/2005
Last updated
01/13/2025
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