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NPI Code Detail

MEDICARE: CARNETHA MATHEWS SIMMONS MD

MEDICARE: CARNETHA MATHEWS SIMMONS MD
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
12084P0804XChild & Adolescent Psychiatry Physician2011-01756NC
22084P0800XPsychiatry Physician2011-01756NC

General Provider Information

NPI Number : 1497886238
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARNETHA MATHEWS SIMMONS MD
Provider Business Mailing Address
First Line : 8040 GEORGIA AVE STE 170
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-4959
Country : US
Telephone Number : 202-360-4787
Fax Number :
Provider Business Practice Location Address
First Line : 8040 GEORGIA AVE STE 170
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-4959
Country : US
Telephone Number : 202-360-4787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 11/07/2024

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Directions to “ CARNETHA MATHEWS SIMMONS MD” Practice Location

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