Individual
NICHOLAS SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7060
(864) 797-7065
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5444
SC
363A00000X
Physician Assistant
PA5694
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110113039A
—
MA
Enumeration date
03/03/2016
Last updated
10/01/2024
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