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NPI Code Detail

MEDICARE: DR. EDWARD DAVID SIMMER M.D., M.P.H.

MEDICARE: DR. EDWARD DAVID SIMMER M.D., M.P.H.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084F0202XForensic Psychiatry Physician0101047358VA
22084P0800XPsychiatry Physician85866SC
32084F0202XForensic Psychiatry Physician85866SC

General Provider Information

NPI Number : 1164493375
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD DAVID SIMMER M.D., M.P.H.
Provider Business Mailing Address
First Line : PO BOX 1257
Second Line :
City : BEAUFORT
State : SC
Zip : 29901-1257
Country : US
Telephone Number : 757-334-7881
Fax Number :
Provider Business Practice Location Address
First Line : 2100 BULL ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2104
Country : US
Telephone Number : 803-898-0124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 07/19/2021

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