Individual
EVAN MATTHEW SIEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
(912) 351-0645
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(602) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4244
GA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME124350
FL
Other
Enumeration date
06/29/2010
Last updated
05/31/2019
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