Simmons, Michael Grayson
Simmons, Michael Grayson is an sole proprietor health care provider with primary practice located at 750 Byron Rd , Scottsboro AL 35769-4051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Simmons, Michael Grayson can be contacted via phone (256) 259-8765.Contact Information
Primary practice address
750 Byron Rd
Scottsboro AL 35769-4051
Phone: (256) 259-8765
Fax: (256) 716-8060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 17993 | Alabama |
Profile Details
| NPI number | 1225023344 |
|---|---|
| LBN Legal business name | Simmons, Michael Grayson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Mar 21st, 2018 - about 7 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 | 1225023344 | NPPES |
| Georgia | MEDICAID | 00820619C | |
| Georgia | MEDICAID | 106277 | |
| Georgia | MEDICAID | 106278 | |
| Georgia | MEDICAID | 256068200 |
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