Individual
JASON M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3443 DICKERSON PIKE, STE 360, NASHVILLE, TN 37207-2519
(615) 301-8269
(615) 712-9823
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
MD46446
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100129730
—
KY
01
—
P01570555
RAILROAD MEDICARE
TN
Enumeration date
05/02/2007
Last updated
09/11/2020
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