Individual
CHARLA J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1261 HILLCREST RD, MOBILE, AL 36695-4026
(251) 660-5940
(251) 660-5941
Mailing address
2423 SCHILLINGER RD S, SUITE 103, MOBILE, AL 36695-4136
(251) 633-5782
(251) 633-5364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO292
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051540296
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/18/2006
Last updated
02/06/2019
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