Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 30238 | CO |
N | 207PE0004X | Emergency Medical Services | 30238 | NC |
NPI | 1184661258 |
---|---|
Provider Name | Darrell Simpkins |
First Address | Southern Pines, NC 28387-6819 |
Second Address | Pinehurst, NC 28374-8710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 28/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8976396 | (05) | NC |
C68773 | (02) | NC |