Evans, Sr

Evans, Sr is an sole proprietor health care provider with primary practice located at 1604 Leflore Ave , Greenwood MS 38930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Evans, Sr can be contacted via phone (662) 453-0532.

Contact Information

Primary practice address
1604 Leflore Ave Greenwood MS 38930
Phone: (662) 453-0532
Fax: (662) 453-3079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 04978 Mississippi

Profile Details

NPI number 1598847253
LBN Legal business name Evans, Sr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Apr 30th, 2008 - about 17 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 1598847253 NPPES
Mississippi MEDICAID 00125971
Mississippi Other 020052768

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