MEDICARE: DR. DOUGLAS LEE SIMS JR. D.C.

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
1	111N00000X	Chiropractor	S02036	MD

General Provider Information

NPI Number	:	1245301720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS LEE SIMS JR. D.C.

Provider Business Mailing Address
First Line	:	5600 RIVERTECH CT STE G
Second Line	:
City	:	RIVERDALE PARK
State	:	MD
Zip	:	20737-1354
Country	:	US
Telephone Number	:	301-853-7467
Fax Number	:	301-853-7040

Provider Business Practice Location Address
First Line	:	5600 RIVERTECH CT STE G
Second Line	:
City	:	RIVERDALE PARK
State	:	MD
Zip	:	20737-1354
Country	:	US
Telephone Number	:	301-853-7467
Fax Number	:	301-853-7040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	09/20/2024

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