Wanda J Simmons Clemmons
Family Doctor - Adult Medicine Family Doctor - Geriatric Medicine
6724 Glenkirk Rd
Baltimore
, Maryland 21239-1410
Wanda J Simmons Clemmons
Family Doctor - Adult Medicine Family Doctor - Geriatric Medicine
6724 Glenkirk Rd
Baltimore
, Maryland 21239-1410
(443) 803-2732
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About
Features
Specialties
- Family Doctor - Adult Medicine
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Wanda J Simmons Clemmons
- 6724 Glenkirk Rd
- Baltimore, MD
- Zip : 21239-1410
- Phone : (443) 803-2732
Second Address
- Wanda J Simmons Clemmons
- 6724 Glenkirk Rd
- Baltimore, MD
- Zip : 21239-1410
- Fax : (410) 433-2015
- Phone : (443) 900-3184
Reviews
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Is Wanda J Simmons Clemmons a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | D0035674 | MD |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | D0035674 | MD |
National Provider Identifier
| NPI | 1275615775 |
|---|---|
| Provider Name | Wanda J Simmons Clemmons |
| First Address | Baltimore, MD 21239-1410 |
| Second Address | Baltimore, MD 21239-1410 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2006 |
| Last Update Date | 29/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 535071900 | (05) | MD |
| C49108 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.