Individual
DR. JAMES ROBERT EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 N STATE OF FRANKLIN RD, SUITE 101B, JOHNSON CITY, TN 37604-6008
(423) 929-7393
(423) 929-0872
Mailing address
310 N STATE OF FRANKLIN RD, SUITE 101B, JOHNSON CITY, TN 37604-6008
(423) 929-7393
(423) 929-0872
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
17930
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052015
—
TN
05
—
Q006764
—
TN
Enumeration date
10/21/2005
Last updated
04/19/2017
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