# SALEM GYNECOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charles B. Evans, M. D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518188515
- **Authorized official:** MRS. TINA B CARSON (OFFICE MANAGER)
- **Authorized official phone:** (336) 794-1444

## Contact information

- **Practice address:** 2830 MAPLEWOOD AVE, SUITE B, WINSTON SALEM, NC 27103-4100
- **Practice address phone:** (336) 794-1444
- **Practice address fax:** (336) 794-1477
- **Mailing address:** 2830 MAPLEWOOD AVE, SUITE B, WINSTON SALEM, NC 27103-4100
- **Mailing address phone:** (336) 794-1444
- **Mailing address fax:** (336) 794-1477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VH0002X | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 32358 | NC | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020