Individual
DR. PAULA J SPENCE-EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-2613
(662) 459-1159
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-2613
(662) 459-1159
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10892
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014115
—
MS
05
—
09012361
—
MS
05
—
09013096
—
MS
Enumeration date
02/06/2007
Last updated
07/08/2007
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