Individual
ROBERT JAMES EVANS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 716-2255
(336) 716-9042
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-9042
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38610
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30941
BLUE CROSS BLUE SHIELD
NC
05
—
8930941
—
NC
Enumeration date
09/22/2005
Last updated
12/14/2010
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