Individual
DR. JOSEPH A EVANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1612 CHAPIN RD, CHAPIN, SC 29036-9304
(803) 345-3414
(803) 345-1672
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9798
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097987
—
SC
Enumeration date
08/01/2006
Last updated
10/27/2020
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