Individual
EVAN EUGENE FOULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 HOSPITAL DR STE 260, JEFFERSON CITY, TN 37760-5283
(865) 471-2250
Mailing address
120 HOSPITAL DR STE 260, JEFFERSON CITY, TN 37760-5283
(865) 471-2250
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
70142
TN
Other
Enumeration date
06/27/2017
Last updated
06/11/2024
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