Individual
MRS. GAIL A. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
210 DILLON CIRCLE, DCG-IMT COE, FORT EUSTIS, VA 23604
(912) 429-7762
Mailing address
210 DILLON CIRCLE, DCG-IMT COE, FORT EUSTIS, VA 23604
(912) 429-7762
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1036982
GA
Other
Enumeration date
07/18/2005
Last updated
05/20/2013
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