Cynthia Allison-Simpkins, NMT

Individual provider Active NPI Specialist · Beaufort, SC

NPI 1336462894 · NPPES record last updated Mar 11, 2010

Key facts

NPI
1336462894
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
1003 (SC)
Practice address
90 Marsh Dr
Beaufort, SC 29907-1354
Phone
(843) 597-1010
NPI assigned
Mar 11, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1003SCMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1003 SC Yes
Other Technician 247200000X 1003 SC

Addresses

Primary practice location

90 Marsh Dr
Beaufort, SC 29907-1354

Mailing address

90 Marsh Dr
Beaufort, SC 29907-1354
Phone (843) 597-1010

Other providers in Beaufort, SC

All providers in Beaufort, SC · Specialist in South Carolina

Sources for this page

Verify at the official NPI Registry.