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Individual

DR. REYNALD T. SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
900 E OAK HILL AVE, KNOXVILLE, TN 37917-4522
(865) 545-8000
Mailing address
PO BOX 634706, CINCINNATI, TN 45263-4706

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
017001
TN
207P00000X
Emergency Medicine Physician
AS2586216
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0158868
BLUE CROSS
TN
05
3019915
TN
Enumeration date
06/06/2006
Last updated
12/04/2007
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