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Individual

RICHARD V SIMS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
18511
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000024861
BLUE CROSS
AL
05
000024861
AL
05
009961705
AL
01
051523372
BLUE CROSS
AL
01
380000465
RAILROAD MEDICARE
AL
01
C06782
VIVA
AL
Enumeration date
07/21/2006
Last updated
06/10/2011
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