| Simmons Geriatric Medicine And Long Term Care, Pa | |
|
16 Deauville Cir Little Rock AR 72223-5532 | |
| (501) 516-2511 | |
| Not Available |
| Full Name | Simmons Geriatric Medicine And Long Term Care, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 16 Deauville Cir, Little Rock, Arkansas |
| Authorized Official Name and Position | Timonthy Simmons (OWNER) |
| Authorized Official Contact | 5015162511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simmons Geriatric Medicine And Long Term Care, Pa 16 Deauville Cir Little Rock AR 72223-5532 Ph: () - | Simmons Geriatric Medicine And Long Term Care, Pa 16 Deauville Cir Little Rock AR 72223-5532 Ph: (501) 516-2511 |
| NPI Number | 1316307531 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Medicare PECOS PAC ID | 9638478571 |
|---|---|
| Medicare Enrollment ID | O20160428000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316307531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy Simmons |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1134219603 PECOS PAC ID: 9830114438 Enrollment ID: I20051012001151 |
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