Individual
JOHN W EVANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6324 FAIRVIEW RD, SUITE 120 A, CHARLOTTE, NC 28210-3271
(704) 362-8444
(704) 362-3557
Mailing address
3480 PRESTON RIDGE RD STE 600, CREDENTIALING DEPT, ALPHARETTA, GA 30005-5462
(770) 300-0101
(770) 300-0429
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
98-253
NM
174400000X
Specialist
9800860
NC
174400000X
Specialist
DR-34301
CO
174400000X
Specialist
F2652
TX
2085R0202X
Diagnostic Radiology Physician
Primary
9800860
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1248T
BCBS OF NC
NC
Enumeration date
07/26/2006
Last updated
09/11/2025
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