Individual
DR. EVAN J FLIEGEL
Active
Individual
DR. EVAN J FLIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033964
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000449677B
—
GA
01
—
11D0987536
CLIA NUMBER
GA
Enumeration date
05/31/2006
Last updated
04/30/2019
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