MEDICARE: DR. STEPHEN PIERCE SIMMONS M.D.

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	207R00000X	Internal Medicine Physician	MD0000010378	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801993563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN PIERCE SIMMONS M.D.

Provider Business Mailing Address
First Line	:	1707 GROVE ST
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3517
Country	:	US
Telephone Number	:	931-381-4932
Fax Number	:	931-380-9216

Provider Business Practice Location Address
First Line	:	1707 GROVE ST
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3517
Country	:	US
Telephone Number	:	931-381-4932
Fax Number	:	931-380-9216

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	07/08/2011

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