Provider Demographics
NPI:1952618910
Name:CAIRNS, SIMON B (LAC)
Entity type:Individual
Prefix:MR
First Name:SIMON
Middle Name:B
Last Name:CAIRNS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1621 HIGHWAY 417
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-8899
Mailing Address - Country:US
Mailing Address - Phone:864-486-0285
Mailing Address - Fax:864-486-9360
Practice Address - Street 1:220 FREEMAN FARM RD.
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-9398
Practice Address - Country:US
Practice Address - Phone:864-848-1548
Practice Address - Fax:864-848-1570
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC150171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist