Individual
ELLEN LEIGH SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CHURCH ST, MOUNTAIN BRK, AL 35213-3702
(205) 415-7536
Mailing address
4389 GALEN CT, VESTAVIA, AL 35242-7467
(205) 913-6371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2591
AL
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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