Individual
GRETCHEN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
832 SUMMIT PARK TRL, MCDONOUGH, GA 30253-7455
(513) 600-5403
Mailing address
108 SWEET GUM TRL, MCDONOUGH, GA 30252-4167
(513) 600-5403
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
GA
Other
Enumeration date
01/04/2021
Last updated
04/06/2026
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