Individual
GREGORY WILLIAM EVERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-5895
Mailing address
PO BOX 11646, LYNCHBURG, VA 24506-1646
(434) 200-5895
(434) 200-7529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102201975
VA
208M00000X
Hospitalist Physician
Primary
0102201975
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053442558
MEDICARE--PALMETTO
—
05
—
1053442558
—
VA
01
—
VV4393A
MEDICARE PTAN
—
Enumeration date
03/08/2007
Last updated
02/16/2023
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