Individual
CHARLOTTE ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 CHATHAM MEDICAL PARK, DBA FOOTHILLS FAMILY MEDICINE, ELKIN, NC 28621-2482
(336) 835-4819
(336) 835-6934
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, (ATTN) FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930903
—
NC
Enumeration date
01/24/2006
Last updated
07/08/2007
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