Individual provider · Type 1 NPI
Jack W. Simmons, MD
Gynecology Physician · Charleston, SC
NPI number
1487625240
Active
Practice location
2097 Henry Tecklenburg Dr, Suite 312W
Charleston, SC 29414-5740
Fax (843) 769-5625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 10543 (SC) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
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About NPI 1487625240
Jack W. Simmons, MD's National Provider Identifier is 1487625240, issued on Jan 30, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Charleston, SC. The record was last updated on Jan 4, 2013.