Individual
DR. BEVERLY Y SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 ATRIUM WAY, COLUMBIA, SC 29223-6301
(803) 788-1153
(803) 736-3243
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2647
(803) 758-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132369
—
SC
Enumeration date
05/04/2006
Last updated
09/16/2009
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