Wanda J Simmons Clemmons, MD
Family Medicine, Adult Medicine in Baltimore, MD. Individual provider (NPI-1).
NPI number1275615775
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1275615775
- Entity type
- Individual (NPI-1)
- Name
- Wanda J Simmons Clemmons
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2006
- Certification date
- Jan 2, 2025
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | D0035674 | MD | Yes |
| 207QG0300X | Family Medicine, Geriatric Medicine | D0035674 | MD |
Practice location
6724 Glenkirk RdBaltimore, MD 21239-1410
Phone 443-900-3184 · Fax 410-433-2015
Mailing address
808 Gleneagles Ct # 20069Towson, MD 21286-2205
Phone 443-900-3184 · Fax 512-559-7040
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