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Individual

DR. STACY N EVANS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1110 N MONROE ST, ALBANY, GA 31701-1949
(229) 888-8121
(229) 888-6374
Mailing address
271 BRENDA LN, ALBANY, GA 31707-1241
(229) 439-7396

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051934
GA

Other

Enumeration date
10/12/2005
Last updated
07/08/2007
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