Individual
MR. ROBERT JOSEPH EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC A
Contact information
Practice address
627 BROAD ST, ELIZABETHTON, TN 37643
(423) 543-5118
(423) 542-8126
Mailing address
627 BROAD ST, ELIZABETHTON, TN 37643
(423) 543-5118
(423) 542-8126
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4096548
BCBS
TN
Enumeration date
08/23/2007
Last updated
08/23/2007
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