Provider Demographics
NPI:1295417038
Name:SIMNS, MARKUS DENARD
Entity type:Individual
Prefix:
First Name:MARKUS
Middle Name:DENARD
Last Name:SIMNS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 GARRICK TRCE
Mailing Address - Street 2:
Mailing Address - City:BROWNS SUMMIT
Mailing Address - State:NC
Mailing Address - Zip Code:27214-9871
Mailing Address - Country:US
Mailing Address - Phone:336-676-3800
Mailing Address - Fax:
Practice Address - Street 1:3411 GARRICK TRCE
Practice Address - Street 2:
Practice Address - City:BROWNS SUMMIT
Practice Address - State:NC
Practice Address - Zip Code:27214-9871
Practice Address - Country:US
Practice Address - Phone:336-676-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)