Individual
MS. KECIA RENEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
2203 NEUSE BOULEVARD, COASTAL SURGICAL SPECIALISTS, PA, NEW BERN, NC 28560-4311
(252) 638-8118
(252) 638-5192
Mailing address
2203 NEUSE BOULEVARD, COASTAL SURGICAL SPECIALISTS, PA, NEW BERN, NC 28560-4311
(252) 638-8118
(252) 638-5192
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
38894
NC
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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