Individual
DR. OLAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1722 PINE ST, SUITE 804, MONTGOMERY, AL 36106-1103
(334) 834-7221
(334) 241-9848
Mailing address
1722 PINE ST, SUITE 804, MONTGOMERY, AL 36106-1103
(334) 834-7221
(334) 241-9848
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00015591
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004340709
AETNA
AL
05
—
000082998
—
AL
01
—
040017480
RAILROAD MEDICARE
AL
01
—
51082998
BCBS
AL
01
—
630755234
UNITED HEALTHCARE
AL
01
—
C36744
SENIORS FIRST
AL
01
—
GEHA
630755234
AL
Enumeration date
08/24/2006
Last updated
07/08/2007
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