| Samuel Joseph Simmons Iii, Inc. | |
|
3601 Beach Blvd #3 Pascagoula MS 39567-7595 | |
| (228) 217-6989 | |
| Not Available |
| Full Name | Samuel Joseph Simmons Iii, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3601 Beach Blvd, Pascagoula, Mississippi |
| Authorized Official Name and Position | Samuel J. Simmons (CEO) |
| Authorized Official Contact | 2282176989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Joseph Simmons Iii, Inc. 3601 Beach Blvd #3 Pascagoula MS 39567-7595 Ph: (228) 217-6989 | Samuel Joseph Simmons Iii, Inc. 3601 Beach Blvd #3 Pascagoula MS 39567-7595 Ph: (228) 217-6989 |
| NPI Number | 1790951796 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790951796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 04941 (Mississippi) | Primary |
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