Individual
DR. CHARLES STERLING SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-0309
(318) 966-1870
(318) 966-1871
Mailing address
2308 HILLSIDE RD, RUSTON, LA 71270-5980
(318) 966-1870
(318) 966-1871
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
MD.017598
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00113057
OFFICE OF GROUP BENEFITS
LA
05
—
1339172
—
LA
05
—
1339174
—
LA
01
—
204405427
TRICARE
LA
Enumeration date
01/31/2007
Last updated
04/16/2015
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