Individual
GWENNETH C SIMMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
370 S PIKE W, SUMTER, SC 29150-2664
(803) 774-6448
Mailing address
370 SOUTH PIKE WEST, SUMTER, SC 29150-2664
(803) 774-6448
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
17458
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7124
MEDICARE
SC
05
—
FQC048
—
SC
Enumeration date
09/26/2011
Last updated
05/14/2026
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