Provider Demographics
NPI:1942461132
Name:SIMMONS, JOSH DAVID (MD)
Entity Type:Individual
Prefix:
First Name:JOSH
Middle Name:DAVID
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CAIRO RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-4255
Mailing Address - Country:US
Mailing Address - Phone:229-227-5102
Mailing Address - Fax:229-227-5193
Practice Address - Street 1:919 S BROAD ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-6114
Practice Address - Country:US
Practice Address - Phone:229-584-5400
Practice Address - Fax:229-551-8643
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA003052207R00000X
GA064969207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine