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NPI Code Detail

MEDICARE: ROY L SIMS MD PC

MEDICARE: ROY L SIMS MD PC
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
1174400000XSpecialist9740AL

General Provider Information

NPI Number : 1497737233
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROY L SIMS MD PC
Provider Business Mailing Address
First Line : 3400 HIGHWAY 78 E
Second Line : SUITE 316 MEDICAL ARTS TOWER
City : JASPER
State : AL
Zip : 35501-8956
Country : US
Telephone Number : 205-221-7301
Fax Number : 205-221-7394
Provider Business Practice Location Address
First Line : 3400 HIGHWAY 78 E
Second Line : SUITE 316 MEDICAL ARTS TOWER
City : JASPER
State : AL
Zip : 35501-8956
Country : US
Telephone Number : 205-221-7301
Fax Number : 205-221-7394
Authorized Official
Title or Position : PRESIDENT
Name : ROY LEE SIMS
Credential : M.D.,
Telephone Number : 205-221-7301
Provider Enumeration Date : 11/17/2005
Last Update Date : 08/22/2020

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