Organization
SAMUEL JOSEPH SIMMONS III, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL J. SIMMONS III M.D. (CEO)
(228) 217-6989
Entity
Organization
Contact information
Practice address
3601 BEACH BLVD, #3, PASCAGOULA, MS 39567-7595
(228) 217-6989
Mailing address
3601 BEACH BLVD, #3, PASCAGOULA, MS 39567-7595
(228) 217-6989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04941
MS
Other
Enumeration date
04/30/2008
Last updated
03/16/2010
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