Individual
EVAN S LOFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3225 CUMBERLAND BLVD SE STE 900, ATLANTA, GA 30339-5971
(404) 351-2220
(404) 591-2939
Mailing address
3225 CUMBERLAND BLVD SE, SUITE 900, ATLANTA, GA 30339-6407
(404) 351-2220
(404) 591-2939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
055255
GA
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
055255
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944572343F
—
GA
Enumeration date
03/21/2007
Last updated
10/13/2020
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