Individual
FREDERICK L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 JAMES RD, FRENCH CAMP, MS 39745-8772
(662) 633-8709
Mailing address
240 JAMES RD, FRENCH CAMP, MS 39745-8772
(662) 633-8709
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003486515
—
MS
Enumeration date
08/16/2018
Last updated
05/23/2023
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