Evans, Iris J

Evans, Iris J is an individual health care provider with primary practice located at 14508 James B White Hwy S , Tabor City NC 28463-8358. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Evans, Iris J can be contacted via phone (910) 653-7000.

Contact Information

Primary practice address
14508 James B White Hwy S Tabor City NC 28463-8358
Phone: (910) 653-7000
Fax: (910) 653-7004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200228 North Carolina

Profile Details

NPI number 1578565727
LBN Legal business name Evans, Iris J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Aug 4th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578565727 NPPES
North Carolina MEDICAID 7003737

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