Evans, Nathaniel R

Evans, Nathaniel R is an sole proprietor health care provider with primary practice located at 210 Village Center Blvd Ste 200 , Myrtle Beach SC 29579-6706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Evans, Nathaniel R can be contacted via phone (843) 236-3222.

Contact Information

Primary practice address
210 Village Center Blvd Ste 200 Myrtle Beach SC 29579-6706
Phone: (843) 236-3222
Fax: (843) 236-3005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 39886 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1467747568
LBN Legal business name Evans, Nathaniel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2011
Last updated Jul 28th, 2016 - about 8 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 1467747568 NPPES
South Carolina Other 39886 SOUTH CAROLINA LICENSE

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