Evans, Brian Christopher
Evans, Brian Christopher is an individual health care provider with primary practice located at 270 Chastain Rd Nw , Kennesaw GA 30144-3012. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Evans, Brian Christopher can be contacted via phone (770) 421-8005.Contact Information
Primary practice address
270 Chastain Rd Nw
Kennesaw GA 30144-3012
Phone: (770) 421-8005
Fax: (770) 424-5662
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 006022 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 6022 | Georgia |
Profile Details
NPI number | 1700180254 |
---|---|
LBN Legal business name | Evans, Brian Christopher |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 27th, 2010 |
Last updated | May 3rd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700180254 | NPPES |
Georgia | Other | 202I971431 | MEDICARE PTAN |
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