Individual
DR. GLENN HAMILTON EVANS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 OCILLA RD, DOUGLAS, GA 31533-2209
(912) 384-0600
(912) 384-0601
Mailing address
PO BOX 1377, DOUGLAS, GA 31534-1377
(912) 384-1477
(912) 384-1470
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
034826
GA
207RI0011X
Interventional Cardiology Physician
Primary
034826
GA
Other
Enumeration date
10/18/2005
Last updated
06/27/2022
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