Individual
CHANELLE SHAKIRA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2030 HARPER AVE NW, LENOIR, NC 28645-4953
(800) 226-8874
Mailing address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019-2915
(800) 226-8874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024-03322
NC
Other
Enumeration date
03/23/2020
Last updated
11/07/2025
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