Individual
EVAN J. HEWGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
610 COSBY HWY, NEWPORT, TN 37821-3414
(423) 625-7777
(423) 625-4903
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2461
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q002908
—
TN
Enumeration date
01/07/2014
Last updated
05/08/2020
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