Individual
PAMELA S WHITING EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
816 INDEPENDENCE BLVD, SUITE 2H, VIRGINIA BEACH, VA 23455
(757) 363-6610
(757) 363-6611
Mailing address
816 INDEPENDENCE BLVD, SUITE 2H, VIRGINIA BEACH, VA 23455
(757) 363-6610
(757) 363-6611
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101054493
VA
2084N0400X
Neurology Physician
9900827
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12159
BLUE CROSS BLUE SHIELD NC
NC
05
—
8912159
—
NC
Enumeration date
09/21/2005
Last updated
05/15/2008
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