Simmons, James Earl

Simmons, James Earl is an individual health care provider with primary practice located at 1875 N Paris Ave , Port Royal SC 29935-2029. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Simmons, James Earl can be contacted via phone (843) 522-3870.

Contact Information

Primary practice address
1875 N Paris Ave Port Royal SC 29935-2029
Fax: (843) 522-0691
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 21238 South Carolina

Profile Details

NPI number 1750399242
LBN Legal business name Simmons, James Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750399242 NPPES
South Carolina Other 21328 STATE LICENSE NUMBER
South Carolina Other 201242983 STATE LICENSE NUMBER
South Carolina MEDICAID GP3983 STATE LICENSE NUMBER

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