Individual
DAVID G EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6060 PRIMACY PKWY, STE 200, MEMPHIS, TN 38119-5770
(901) 761-4620
(907) 761-3072
Mailing address
6060 PRIMACY PKWY, STE 200, MEMPHIS, TN 38119-5770
(901) 761-4620
(907) 761-3072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1596
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3599522
—
TN
Enumeration date
06/17/2005
Last updated
02/20/2008
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