Individual
CONSTANCE B SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
187 BUNCH FORD ROAD, HOLLY HILL, SC 29059
(803) 496-3312
(803) 496-7713
Mailing address
PO BOX 188, HOLLY HILL, SC 29059-0188
(803) 496-3312
(803) 496-7713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
944
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
944
APRN
SC
Enumeration date
05/15/2007
Last updated
12/18/2009
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