Individual
RICHARD S SIMMONS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1551 DOCTORS DRIVE, BUILDING 200, LAGRANGE, GA 30240-4139
(706) 884-3389
(706) 880-7223
Mailing address
1551 DOCTORS DRIVE, BUILDING 200, LAGRANGE, GA 30240-4139
(706) 884-3389
(706) 880-7223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
028651
GA
174400000X
Specialist
28651
GA
207RP1001X
Pulmonary Disease Physician
Primary
28651
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
28651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00327533A
—
GA
Enumeration date
09/16/2005
Last updated
10/03/2019
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