Organization
H. DAVID SIMMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD DAVID SIMMONS M.D. (OWNER)
(662) 226-0325
Entity
Organization
Contact information
Practice address
340 VAN DORN ST, GRENADA, MS 38901-4738
(662) 226-0325
(662) 226-0327
Mailing address
340 VAN DORN ST, GRENADA, MS 38901-4738
(662) 226-0325
(662) 226-0327
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11777
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04309383
—
MS
Enumeration date
09/10/2009
Last updated
09/10/2009
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