Individual
DR. JERRY ALLEN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
Mailing address
2117 JUBILEE LN, WINTERVILLE, NC 28590-9706
(252) 756-0485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9600196
NC
207RI0011X
Interventional Cardiology Physician
9600196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126KM
BCBS
NC
05
—
89126KM
—
NC
Enumeration date
08/15/2005
Last updated
03/04/2025
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