Individual
DAVID WAYNE SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1033 EDGEFIELD ST, GREENWOOD, SC 29646-3205
(864) 227-3908
(864) 227-2668
Mailing address
1033 EDGEFIELD ST, GREENWOOD, SC 29646-3205
(864) 227-3908
(864) 227-2668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1906
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1704PA
—
SC
Enumeration date
03/29/2013
Last updated
11/14/2017
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