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Individual

JONATHAN G EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
Mailing address
3443 DICKERSON PIKE, SUITE 680, NASHVILLE, TN 37207-2519
(615) 865-3322
(615) 467-6692

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD0000024656
TN
207RP1001X
Pulmonary Disease Physician
MD27860
ME
207RS0012X
Sleep Medicine (Internal Medicine) Physician
24656
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3076519
TN
01
621632725
TAX ID
TN
01
621701777
TAX ID
TN
05
64014905
KY
Enumeration date
07/12/2005
Last updated
02/12/2024
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