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Individual

DR. JOAN D. EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
433 WOOD ST, TROY, NC 27371-2849
(910) 576-2212
(910) 576-2212
Mailing address
433 WOOD ST, TROY, NC 27371-2849
(910) 576-2212
(910) 576-2212

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
264
NC
213EP1101X
Primary Podiatric Medicine Podiatrist
264
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
264
NC
213ES0131X
Foot Surgery Podiatrist
264
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0805G
BLUE CROSS BLUE SHIELD
NC
05
890805G
NC
Enumeration date
01/13/2007
Last updated
08/16/2013
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