Organization
CARLOTTA R. EVANS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOTTA RAY EVANS MD (OWNER)
(304) 872-2450
Entity
Organization
Contact information
Practice address
1020 BROAD ST, SUMMERSVILLE, WV 26651-1711
(304) 872-2450
Mailing address
1020 BROAD ST, SUMMERSVILLE, WV 26651-1711
(304) 872-2450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15805
WV
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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