Individual
PAUL EDWARD EVANS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4107 W MERCURY BLVD, HAMPTON, VA 23666-3729
(757) 251-7977
(757) 251-7995
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101032924
VA
Other
Enumeration date
10/31/2005
Last updated
11/25/2013
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