Healthcare Provider Details

I. General information

NPI: 1053425595
Provider Name (Legal Business Name): JOHN F. SIMMONS M.D. P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 08/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 W HOSPITAL DR
GENEVA AL
36340-1645
US

IV. Provider business mailing address

915 W HOSPITAL DR
GENEVA AL
36340-1645
US

V. Phone/Fax

Practice location:
  • Phone: 334-684-3644
  • Fax: 334-684-6472
Mailing address:
  • Phone: 334-684-3644
  • Fax: 334-684-6472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number10418
License Number StateAL

VIII. Authorized Official

Name: DR. JOHN FRANKLIN SIMMONS
Title or Position: DOCTOR
Credential: M.D.
Phone: 334-684-3644