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Everitt
Simmons
MD
Contract Details
Dr. Everitt Simmons
Facility name
Provider ID
P000009076
NPI
1952333064
Tax ID
270610528
Effective Date
2/12/2018
Last Updated
2/15/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1000 1st Street N
Alabaster, AL 35007
United States
County
Shelby
Phone
2056208133
(
Phone
)
Billing Details
Address
1000 1st Street N
Alabaster, AL 35007
Billing Phone
2056208133
Specialty Type
Wound Care
Map
Address