Individual
FOREST L. EVANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
(803) 256-5300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19180
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
19180
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191808
—
SC
Enumeration date
03/15/2006
Last updated
04/29/2024
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