Queen Evans BA

NPI 1942226733 - Counselor - 101Y00000X

NPI Details
NPI 1942226733
Gender Female
Enumeration Date 07/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
164 WACCAMAW MEDICAL PARK DR
CONWAY SC, 29526-8903, US
Phone (843) 347-5060
Fax
Business Location
160 I M GRAHAM RD
KINGSTREE SC, 29556-6057, US
Phone (843) 382-9114
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Queen Evans BA NPI is 1942226733, taxonomy code is 101Y00000X Queen Evans BA physically located at 164 Waccamaw Medical Park Dr, Conway SC, 29526-8903. NPI Number Queen Evans BA has the Individual type.

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1942226733 NPI number is provided on an as is basis without warranty of any kind. 1942226733 is maintained by the National Plan & Provider Enumeration System. The contents of Queen Evans BA are for informational purposes only.