Individual
DR. WILLIAM J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3631 BIENVILLE BLVD, SUITE A, OCEAN SPRINGS, MS 39564-5702
(228) 818-9620
(228) 818-9750
Mailing address
3631 BIENVILLE BLVD, SUITE A, OCEAN SPRINGS, MS 39564-5702
(228) 818-9620
(228) 818-9750
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18874
MS
2084N0600X
Clinical Neurophysiology Physician
18874
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01257147
—
MS
01
—
646000515
DEPARTMENT OF LABOR
—
01
—
P00389398
RAILROAD MEDICARE
—
Enumeration date
06/20/2006
Last updated
05/02/2022
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