Individual
CHARITY ELISABETH EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 COUNTY ROAD 40, CENTRE, AL 35960-8206
(678) 575-1193
Mailing address
620 COUNTY ROAD 40, CENTRE, AL 35960-8206
(678) 575-1193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-208122
AL
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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