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General NPI Number Information
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NPI Number | 1518097062
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Entity Type | Organization
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Legal Business Name | HARVEY L. SIMPSON, III, LLC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 821 N COBB ST SUITE 100
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2343
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Country | US
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Telephone | 478-454-3805
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Fax | 478-454-3975
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Provider Business Mailing Address
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Address Line | PO BOX 626
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City | MILLEDGEVILLE
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State | GA
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Zip | 31059-0626
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Country | US
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Telephone | 770-693-2622
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Fax | 770-693-5821
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. HARVEY L. SIMPSON
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Credential | MD
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Telephone | 478-454-3805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 039470
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License Number State | GA
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