Individual
PATRICIA ANN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2731 MARTIN LUTHER KING JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Mailing address
2731 MARTIN LUTHER KING JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 048
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51503439SIM
BLUE CROSS BLUE SHIELD
AL
05
—
630500041
—
AL
Enumeration date
09/15/2006
Last updated
05/07/2008
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