Organization
JOAN D. EVANS, D.P.M., P.A.
Active
Other names
Troy Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN D. EVANS DPM (PRESIDENT)
(910) 576-2212
Entity
Organization
Contact information
Practice address
433 WOOD ST, TROY, NC 27371-2849
(910) 576-2212
(910) 576-2212
Mailing address
433 WOOD ST, TROY, NC 27371-2849
(910) 576-2212
(910) 576-2212
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
264
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
264
NC
213ES0131X
Foot Surgery Podiatrist
264
NC
261QP1100X
Podiatric Clinic/Center
Primary
264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805G
BLUE CROSS BLUE SHIELD
NC
05
—
890805G
—
NC
Enumeration date
01/12/2007
Last updated
08/15/2013
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