Wanda J Simmons Clemmon in Baltimore - Adult Medicine
Wanda J Simmons Clemmon - NPI 1275615775
Wanda J Simmons Clemmon is a Adult Medicine in Baltimore, Maryland. Wanda J Simmons Clemmon practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Wanda J Simmons Clemmon is 1275615775. The last update date is 2014-08-29.
Wanda J Simmons Clemmon's current location address is 6724 Glenkirk Rd, Baltimore, Maryland. You can contact this provider via phone number 4439003184 and fax number 4104332015. The mailing address for Wanda J Simmons Clemmon is 6724 Glenkirk Rd, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda J Simmons Clemmon |
|---|---|
| Address | 6724 Glenkirk Rd, Baltimore, Maryland |
| Phone Number | 4439003184 |
| Fax Number | 4104332015 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275615775 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2014-08-29 |
Provider Mailing Address Detail
| Address | 6724 Glenkirk Rd |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212391410 |
| Phone Number | 4439003184 |
| Fax Number | 4104332015 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | D0035674 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 535071900 | MD | -- |
Post Comment/ Review Below
What is the Wanda J Simmons Clemmon's 1275615775?
The Wanda J Simmons Clemmon's NPI (National Provider Identifier) Number is 1275615775. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wanda J Simmons Clemmon's physical address?
The Wanda J Simmons Clemmon is physically located at 6724 Glenkirk Rd, in the city of Baltimore, MD, with the postal code 212391410.
What is Wanda J Simmons Clemmon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wanda J Simmons Clemmon is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275615775 to Wanda J Simmons Clemmon?
The Wanda J Simmons Clemmon received its 1275615775 assignment from the Centers for Medicare & Medicaid Services on 2006-10-20.
When was the Wanda J Simmons Clemmon's information last updated?
The Wanda J Simmons Clemmon's information was last updated on 2014-08-29.
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