Individual
HILARY JAMES EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27751
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277514
—
SC
01
—
P00386915
MEDICARE RAILROAD PTAN#
GA
01
—
P01402544
RAILROAD MEDICARE
SC
Enumeration date
06/06/2006
Last updated
12/29/2020
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