Individual
DOUGLAS A EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 N STATE ST, SUITE 311, JACKSON, MS 39202
(601) 969-1171
(601) 969-1173
Mailing address
1151 N STATE ST, SUITE 311, JACKSON, MS 39202-2407
(601) 969-1171
(601) 969-1173
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17569
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00920835
—
MS
Enumeration date
01/29/2007
Last updated
11/12/2010
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