Individual
DR. WILLIAM ANDREW EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-1542
Mailing address
PO BOX 409, BLUEFIELD, WV 24701-0409
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9701337
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130NX
BCBS OF NC
NC
01
—
220031074
RAILROAD MEDICARE
—
05
—
89130NX
—
NC
Enumeration date
08/22/2005
Last updated
06/15/2017
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