Individual
MRS. WENDY W SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1710 S. 17TH ST., WILMINGTON, NC 28401-6442
(910) 762-1182
(910) 332-1111
Mailing address
1710 S. 17TH ST., WILMINGTON, NC 28401-6442
(910) 762-1182
(910) 332-1111
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
101041
NC
363A00000X
Physician Assistant
MS0295635
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101041
NC LICENSE
NC
Enumeration date
07/10/2006
Last updated
03/07/2023
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