Individual
DR. ANDREW BENNETT EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6946
(336) 765-5553
(336) 765-5359
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 765-5553
(336) 765-5359
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2009-00162
NC
2084N0600X
Clinical Neurophysiology Physician
2009-00162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916410
—
NC
Enumeration date
11/11/2007
Last updated
10/25/2020
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