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Organization

JOHN C SIMMONS M.D.

Active
Other names
John C Simmons M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN C SIMMONS M.D. (PRESIDENT)
(334) 295-0170
Entity
Organization

Contact information

Practice address
100 E CAHABA AVE, LINDEN, AL 36748-1204
(334) 295-0170
(334) 295-2275
Mailing address
PO BOX 480070, LINDEN, AL 36748-0070
(334) 295-0170
(334) 295-2275

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
16795
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117645
AL
01
511-03472
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
03/08/2010
Last updated
09/28/2015
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