Organization
EVANS PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL LYNAE EVANS MD (PRESIDENT)
(864) 963-0400
Entity
Organization
Contact information
Practice address
104A W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(864) 963-0400
Mailing address
104A W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(864) 963-0400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23304
SC
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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