Provider Demographics
NPI:1386840874
Name:SIMMONS, JOHN WALTON II (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WALTON
Last Name:SIMMONS
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:221 TECHNOLOGY PKWY NW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-1369
Mailing Address - Country:US
Mailing Address - Phone:706-295-5331
Mailing Address - Fax:
Practice Address - Street 1:150 GENTILLY BLVD
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8522
Practice Address - Country:US
Practice Address - Phone:770-382-5919
Practice Address - Fax:678-721-4386
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2024-10-25
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Provider Licenses
StateLicense IDTaxonomies
GA077434208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery