Individual
MR. RANDALL BRIAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 MAIN ST, SUITE 202, HILTON HEAD, SC 29926-1648
(843) 682-3583
(843) 682-3597
Mailing address
23 MAIN ST, SUITE 202, HILTON HEAD, SC 29926-1648
(843) 682-3583
(843) 682-3597
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
19179
SC
207RP1001X
Pulmonary Disease Physician
Primary
19179
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
19179
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290013965
SC RR MCARE
SC
01
—
CI9902
SC RR MCARE GRP #
SC
05
—
T32088
—
SC
Enumeration date
03/09/2006
Last updated
05/10/2016
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