Evans, Cheryl
Evans, Cheryl is an sole proprietor health care provider with primary practice located at 104A W Georgia Rd , Simpsonville SC 29681-2302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Evans, Cheryl can be contacted via phone (864) 963-0400.Contact Information
Primary practice address
104A W Georgia Rd
Simpsonville SC 29681-2302
Phone: (864) 963-0400
Fax: (864) 963-1661
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 23304 | South Carolina |
Profile Details
NPI number | 1871567172 |
---|---|
LBN Legal business name | Evans, Cheryl |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 14th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1871567172 | NPPES |
South Carolina | MEDICAID | T75291 |
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