Whalio Doctors

NPI 1982751921

Grant Pegram Simmons, MD

Practitioner Urology Physician Cleveland, TN

Practice location

Address
400 Berywood Trl NW STE B, Cleveland, TN 37312-5288
Phone
(423) 472-3201
Fax
(423) 476-4949

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD0000045559 (TN)

Registry record

NPI
1982751921
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jan 2007
Record last updated
24 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.