Evans Dermatology, Llc

NPI 1083862577 - Specialist - 174400000X

NPI Details
NPI 1083862577
Enumeration Date 09/09/2008
Last Updated 11/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FRANCES FRANCES
Position MEMBER
Phone (706) 922-3376
Fax (706) 922-5643
Practice Location
902 PONDER PLACE CT
EVANS GA, 30809-3184, US
Phone (706) 922-3376
Fax (706) 922-5643
Business Location
902 PONDER PLACE CT
EVANS GA, 30809-3184, US
Phone (706) 922-3376
Fax (706) 922-5643
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 0576116
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According to our database, Evans Dermatology, Llc NPI is 1083862577, taxonomy code is 174400000X and license number is 0576116, license state is located at Georgia. Evans Dermatology, Llc physically located at 902 Ponder Place Ct, Evans GA, 30809-3184. NPI Number 1033115704 has the healthcare provider type.

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1083862577 NPI number is provided on an as is basis without warranty of any kind. 1083862577 is maintained by the National Plan & Provider Enumeration System. The contents of Evans Dermatology, Llc are for informational purposes only.