Individual
DR. ROBERT M EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
971 LAKELAND DR, SUITE 450, JACKSON, MS 39216-4643
(601) 948-5158
(601) 949-6058
Mailing address
971 LAKELAND DR, SUITE 450, JACKSON, MS 39216-4643
(601) 948-5158
(601) 949-6058
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
08333
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013859
—
MS
Enumeration date
08/03/2006
Last updated
11/24/2009
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