Individual
DON ALAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 LOWELL DR SE, SUITE 102, HUNTSVILLE, AL 35801-3754
(256) 535-5976
(256) 535-5953
Mailing address
420 LOWELL DR SE, SUITE 103, HUNTSVILLE, AL 35801-3754
(256) 535-5940
(256) 535-5954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7974
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004303
—
AL
01
—
0004050364
AETNA
—
01
—
410013838
RAILROAD MEDIARE
—
01
—
51004303
BLUE CROSS BLUE SHIELD
AL
01
—
630817103
TAX IDENTIFICATION NO
—
Enumeration date
11/17/2005
Last updated
09/10/2010
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