Individual
COLSTON FREEMAN MCEVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE A140, GREENVILLE, SC 29615-3593
(864) 454-5125
(864) 241-9201
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4536
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
23678
SC
2080P0206X
Pediatric Gastroenterology Physician
Primary
23678
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED
—
SC
Enumeration date
05/26/2006
Last updated
11/18/2016
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