Individual
DR. HEATHER L SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5325
Mailing address
257 CATHERINE VW, RICHMOND HILL, GA 31324-5175
(912) 727-4183
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
053170
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10058894
AMERIGROUP
GA
05
—
214057632
—
GA
05
—
214057632A
—
GA
05
—
214057632B
—
GA
05
—
214057632C
—
GA
05
—
214057632D
—
GA
05
—
214057632E
—
GA
05
—
214057632F
—
GA
05
—
G53170
—
SC
Enumeration date
06/21/2006
Last updated
02/24/2015
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