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Individual

DR. ANGELA MAY EVAGASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
575 E KING AVE, KINGSLAND, GA 31548-6394
(912) 729-2900
(912) 729-2901
Mailing address
575 E KING AVE, KINGSLAND, GA 31548-6394
(912) 729-2900
(912) 729-2901

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006651
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000934678A
GA
Enumeration date
02/12/2008
Last updated
02/12/2008
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