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NPI Code Detail

MEDICARE: ADUKE SIMPSON M.D.

MEDICARE: ADUKE 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
1207V00000XObstetrics & Gynecology Physician01071811AIN
2207V00000XObstetrics & Gynecology Physician46744TN

Other Identifiers

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

General Provider Information

NPI Number : 1972711877
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADUKE SIMPSON M.D.
Provider Business Mailing Address
First Line : 1120 FAIRMOUNT AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37405-2850
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 975 E 3RD ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-2173
Country : US
Telephone Number : 423-778-4725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 11/03/2022

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