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Individual

DR. EVELYN KELLY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1301 DOVE ST, MONROE, NC 28112-5012
(704) 283-8888
Mailing address
1301 DOVE ST, MONROE, NC 28112-5012
(704) 283-8888
(704) 283-5747

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9401437
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017WA
BCBSNC
NC
05
5903343
NC
01
6594700
CIGNA
Enumeration date
06/10/2006
Last updated
03/04/2008
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