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Individual
DONNA L EVANS
Active
Individual
DONNA L EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038227
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000597891B
—
GA
01
—
10064419
AMERIGROUP
GA
01
—
349757
WELLCARE
GA
01
—
370017873
RR MEDICARE
GA
05
—
G38227
—
SC
Enumeration date
06/27/2006
Last updated
01/04/2022
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