Individual
EVAN JOHN VAN PEURSEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11705 MERCY BLVD, SAVANNAH, GA 31419-1711
(912) 355-7214
Mailing address
115 NORTH DR, SAVANNAH, GA 31406-8937
(706) 589-1728
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
82674
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
05/09/2019
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