Individual
JUDSON HOLT EVANS II
Active
Individual
JUDSON HOLT EVANS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34307
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162106E
MEDICARE PTAN
NC
01
—
2162106G
MEDICARE PTAN
NC
05
—
893094B
—
NC
01
—
P00852717
MEDICARE RAILRAOD
NC
Enumeration date
06/16/2005
Last updated
06/03/2011
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