Individual
WILLIAM M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 MALCOLM BLVD, VALDESE, NC 28690-2872
(828) 580-7620
(704) 377-3389
Mailing address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(704) 377-5772
(704) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
2007-00819
NC
208VP0014X
Interventional Pain Medicine Physician
27534
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147K8
BCBS
NC
05
—
275348
—
SC
05
—
5906671
—
NC
01
—
P01011051
RAILROAD-MEDICARE
NC
Enumeration date
05/27/2006
Last updated
04/23/2015
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