Individual
DR. CHARLES WILLIAM SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 BESTGATE RD STE 220, ANNAPOLIS, MD 21401-3648
(855) 527-7246
(866) 229-5063
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(866) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
DOO65044
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D0065044
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102609154-0001
—
PA
Enumeration date
04/02/2007
Last updated
07/27/2022
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