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Sr Evans JR., MD
Gynecology Physician in Greenwood, Mississippi
NPI 1598847253

Sr Evans JR. is a Gynecology Physician based in Greenwood, MS and is specialized in Gynecology. Sr Evans JR. practices in Greenwood, MS and has the professional credentials of MD. The NPI Number for Sr Evans JR. is 1598847253 and holds a License No. 04978 (Mississippi).

The current practice location address for Sr Evans JR. is 1604 Leflore Ave, Greenwood, MS and can be reached out via phone at 662-453-0532 and via fax at 662-453-3079.

Location: 1604 Leflore Ave, Greenwood, MS, 38930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598847253
Provider Name
Sr Evans JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1604 Leflore Ave, Greenwood, MS, 38930
Phone Number
662-453-0532
Fax Number
662-453-3079
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00125971 05 MS
020052768 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1604 Leflore Ave
City
Greenwood
State
Mississippi
Zip
38930
Phone Number
662-453-0532
Fax Number
662-453-3079
person
Provider Business Mailing Address Details
Address
1604 Leflore Ave
City
Greenwood
State
Mississippi
Zip
38930
Phone Number
662-453-0532
Fax Number
662-453-3079
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
04978 (Mississippi)
Definition
Definition to come...
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