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Individual

TYLER FREDERICK SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1440 JONES DAIRY RD, JASPER, AL 35501-6164
(205) 265-3005
Mailing address
1421 13TH AVE, PLEASANT GROVE, AL 35127-2510
(205) 602-2312

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
11/18/2024
Last updated
11/18/2024
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