Individual
JOHN ALFRED EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00238
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904220
—
NC
Enumeration date
06/29/2006
Last updated
07/31/2008
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