Individual
CHARLES B EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2828B MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4138
(336) 794-1444
(336) 794-1477
Mailing address
2828B MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4138
(336) 794-1444
(336) 794-1477
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
32358
NC
Other
Enumeration date
05/05/2006
Last updated
11/10/2014
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