Individual
JENNIFER C SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4450
(864) 295-4210
(864) 295-1473
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205352
—
SC
01
—
571004971004
BCBS OF SC
SC
01
—
7657126
AETNA
SC
Enumeration date
06/13/2006
Last updated
02/19/2018
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