Individual
JOHN WILLIS EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
68068
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
94146
GA
Other
Enumeration date
06/10/2013
Last updated
07/31/2023
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