Provider Demographics
NPI:1114114220
Name:SIMS, MARY CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CAROL
Last Name:SIMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 470126
Mailing Address - Street 2:140 WEASEL CREEK RD
Mailing Address - City:WINSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59647-0126
Mailing Address - Country:US
Mailing Address - Phone:406-992-0195
Mailing Address - Fax:866-349-6549
Practice Address - Street 1:140 WEASEL CREEK RD
Practice Address - Street 2:BOX 470126
Practice Address - City:WINSTON
Practice Address - State:MT
Practice Address - Zip Code:59647-0126
Practice Address - Country:US
Practice Address - Phone:406-992-0195
Practice Address - Fax:866-349-6549
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT87582084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology