Individual
DR. KENNETH C EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 E CAROLINA AVE, HARTSVILLE, SC 29550-4311
(843) 383-0770
(843) 383-5856
Mailing address
515 E CAROLINA AVE, HARTSVILLE, SC 29550-4311
(843) 383-0770
(843) 383-5856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2918
—
SC
Enumeration date
07/22/2005
Last updated
12/01/2008
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