Individual
MRS. REBECCA LEE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
2 MEDICAL PARK RD STE 208, COLUMBIA, SC 29203-6839
(843) 385-7322
Mailing address
1283 FIDDLEHEAD WAY, MYRTLE BEACH, SC 29579-3821
(843) 385-7322
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000042A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74000042A
INDIANA MEDICAL LICENSING BOARD
IN
Enumeration date
12/29/2017
Last updated
12/29/2017
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