Individual
MR. COREY EVONT EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
4097 TROTTERS WAY DRIVE, SNELLVILLE, GA 30039
(404) 449-7902
(770) 979-7561
Mailing address
P.O. BOX 390335, SNELLVILLE, GA 30039
(404) 449-7902
(770) 979-7561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005335
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00955028D
—
GA
Enumeration date
11/06/2006
Last updated
07/09/2007
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