Individual
DR. EVAN C BAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 WRIGHTSBORO RD, AUGUSTA, GA 30904-6220
(706) 737-3948
(706) 737-4035
Mailing address
2300 WRIGHTSBORO RD, AUGUSTA, GA 30904-6220
(706) 737-3948
(706) 737-4035
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
037131
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00564825A
—
GA
01
—
G37131
MEDICAID
SC
Enumeration date
09/21/2005
Last updated
12/07/2012
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