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Organization

EVANS FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE EVANS MD (CEO)
(770) 757-7832
Entity
Organization

Contact information

Practice address
105 COLLIER RD NW STE 1000, ATLANTA, GA 30309-1730
(404) 596-1218
(855) 594-2307
Mailing address
105 COLLIER RD NW STE 1000, ATLANTA, GA 30309-1730
(404) 596-1218
(855) 594-2307

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052171
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245249333
NPI
Enumeration date
08/08/2018
Last updated
09/14/2021
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