Individual
JUSTIN COLIN EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
10755 FALLS RD STE 160, LUTHERVILLE, MD 21093-4588
(410) 583-2777
Mailing address
BUILDING 19H, ROOM 270, PERRY POINT VA MEDICAL CENTER, PERRY POINT, MD 21902
(410) 642-2411
(410) 642-1898
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
C0004855
MD
363AM0700X
Medical Physician Assistant
Primary
C0004855
MD
Other
Enumeration date
10/21/2012
Last updated
11/28/2023
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