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Willie Evans
Clinic/Center in Monroe, North Carolina
NPI 1871642413

Willie Evans is a Clinic/Center based in Monroe, NC. Willie Evans practices in Monroe, NC. The NPI Number for Willie Evans is 1871642413 and holds a License No. FCL090012 (North Carolina).

The current practice location address for Willie Evans is 2101 White Store Rd, Monroe, NC and can be reached out via phone at 704-292-5162 and via fax at 704-282-4142.

Location: 2101 White Store Rd, Monroe, NC, 28112-8733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871642413
Provider Name
Willie Evans
Credential
Provider Entity Type
Organization
Address
2101 White Store Rd, Monroe, NC, 28112-8733
Phone Number
704-292-5162
Fax Number
704-282-4142
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7802668 05 NC
institution
Provider Business Practice Location Address Details
Address
2101 White Store Rd
City
Monroe
State
North Carolina
Zip
28112-8733
Phone Number
704-292-5162
Fax Number
704-282-4142
person
Provider Business Mailing Address Details
Address
2101 White Store Rd
City
Monroe
State
North Carolina
Zip
28112-8733
Phone Number
704-292-5162
Fax Number
704-282-4142
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
FCL090012 (North Carolina)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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