Simmons, Matthew T
Simmons, Matthew T is an sole proprietor health care provider with primary practice located at 684 Sixes Rd Suite 130, Holly Springs GA 30115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Simmons, Matthew T can be contacted via phone (770) 517-6636.Contact Information
Primary practice address
684 Sixes Rd Suite 130
Holly Springs GA 30115
Phone: (770) 517-6636
Fax: (770) 517-6568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 072688 | Georgia |
Profile Details
| NPI number | 1952620429 |
|---|---|
| LBN Legal business name | Simmons, Matthew T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2010 |
| Last updated | Dec 28th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952620429 | NPPES |
| Georgia | MEDICAID | 003151859A | |
| Georgia | MEDICAID | 003151859B | |
| Georgia | MEDICAID | 003151859D |
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