Individual
DR. GRANT PEGRAM SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 BERYWOOD TRL NW STE B, CLEVELAND, TN 37312-5288
(423) 472-3201
(423) 476-4949
Mailing address
400 BERYWOOD TRL NW STE B, CLEVELAND, TN 37312-5288
(423) 472-3201
(423) 476-4949
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000045559
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016605
—
MS
05
—
1148245
—
LA
Enumeration date
01/04/2007
Last updated
06/24/2014
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