Provider Demographics
NPI:1427009224
Name:SIMS, ROY LEE (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:LEE
Last Name:SIMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3400 HIGHWAY 78 E
Mailing Address - Street 2:SUITE 316 MEDICAL ARTS TOWER
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-8956
Mailing Address - Country:US
Mailing Address - Phone:205-221-7301
Mailing Address - Fax:205-221-7394
Practice Address - Street 1:3400 HIGHWAY 78 E
Practice Address - Street 2:SUITE 316 MEDICAL ARTS TOWER
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-8956
Practice Address - Country:US
Practice Address - Phone:205-221-7301
Practice Address - Fax:205-221-7394
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL9740207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL09771OtherBLUE CROSS BLUE SHIELD
AL000009771Medicaid
AL000009771Medicaid
AL09771OtherBLUE CROSS BLUE SHIELD