Individual
DR. MATTHEW T SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
684 SIXES RD, SUITE 130, HOLLY SPRINGS, GA 30115
(770) 517-6636
(770) 517-6568
Mailing address
684 SIXES RD., SUITE 130, HOLLY SPRINGS, GA 30115
(770) 517-6636
(770) 517-6568
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
072688
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151859A
—
GA
05
—
003151859B
—
GA
05
—
003151859D
—
GA
Enumeration date
05/24/2010
Last updated
12/28/2016
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