Individual
BETHANY DYAR EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401-1164
(843) 792-2300
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
28439
SC
Other
Enumeration date
03/04/2024
Last updated
03/18/2024
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