Individual
DR. JAMES EARL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1875 N PARIS AVE, PORT ROYAL, SC 29935-2029
(843) 522-3870
(843) 522-0691
Mailing address
1875 N PARIS AVE, PORT ROYAL, SC 29935-2029
(843) 522-3870
(843) 522-0691
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
21238
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201242983
TAX ID
SC
01
—
21328
STATE LICENSE NUMBER
SC
05
—
GP3983
—
SC
Enumeration date
08/03/2006
Last updated
03/07/2023
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