Individual
DR. THOMAS CHARLES EVANS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1023 HILLSHIRE DR, MCCOMB, MS 39648-7570
(601) 249-0943
Mailing address
1023 HILLSHIRE DR, MCCOMB, MS 39648-7570
(601) 249-0943
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03561R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148041
—
LA
Enumeration date
09/16/2006
Last updated
07/08/2007
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