Evans, Ellis Wayne

Evans, Ellis Wayne is an individual health care provider with primary practice located at 770 Pine Street Suite 220, Macon GA 31201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Evans, Ellis Wayne can be contacted via phone (478) 746-1396.

Contact Information

Primary practice address
770 Pine Street Suite 220 Macon GA 31201
Phone: (478) 746-1396
Fax: (478) 746-1997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 013745 Georgia

Profile Details

NPI number 1891708541
LBN Legal business name Evans, Ellis Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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