MEDICARE: DR. DAMON D SIMPSON 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	208600000X	Surgery Physician	36114	AZ
2	208600000X	Surgery Physician	TL32384	SC
3	208600000X	Surgery Physician	2018-02643	NC
4	208600000X	Surgery Physician	32384	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00886827	OTHER	SC	RAILROAD MC ID-RSFPN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891775177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAMON D SIMPSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 751649
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	843-789-1620
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	3510 HIGHWAY 17 BYP N STE 325
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-8232
Country	:	US
Telephone Number	:	843-723-2835
Fax Number	:	843-606-8007

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	05/01/2023

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Directions to “ DR. DAMON D SIMPSON M.D.” Practice Location

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