SearchSouth Carolina171400000X

Portia Simmons

NPI 1871051425 · on the registry since 2019 · sole proprietor

Practice

Address
17 Bainbridge Dr
Charleston, SC 29407
Phone
(843) 709-7356

Registry record

Primary taxonomy
171400000X
171400000X
Also registered as
171M00000X
101YM0800X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina