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Individual
CHARLES B EVANS
Active
Individual
CHARLES B EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
32358
NC
Other
Enumeration date
05/05/2006
Last updated
11/10/2014
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