Evans, Randall Brian
Evans, Randall Brian is an individual health care provider with primary practice located at 23 Main St Suite 202, Hilton Head SC 29926-1648. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Evans, Randall Brian can be contacted via phone (843) 682-3583.Contact Information
Primary practice address
23 Main St Suite 202
Hilton Head SC 29926-1648
Phone: (843) 682-3583
Fax: (843) 682-3597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 19179 | South Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 19179 | South Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 19179 | South Carolina |
Profile Details
| NPI number | 1124096623 |
|---|---|
| LBN Legal business name | Evans, Randall Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | May 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124096623 | NPPES |
| South Carolina | Other | 290013965 | SC RR MCARE |
| South Carolina | MEDICAID | T32088 | SC RR MCARE |
| South Carolina | Other | CI9902 | SC RR MCARE |
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