Evans, John Willis
Evans, John Willis is an sole proprietor health care provider with primary practice located at 1120 15Th St # Or6000 , Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Evans, John Willis can be contacted via phone (706) 721-8623.Contact Information
Primary practice address
1120 15Th St # Or6000
Augusta GA 30912-0004
Phone: (706) 721-8623
Fax: (706) 721-1459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 68068 | Minnesota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 94146 | Georgia |
Profile Details
| NPI number | 1194163378 |
|---|---|
| LBN Legal business name | Evans, John Willis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2013 |
| Last updated | Jul 31st, 2023 - about last year |
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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