Individual
THOMAS STEPHEN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 CHURCH ST, SWEETWATER, TN 37874-1181
(865) 213-8595
(865) 213-8596
Mailing address
304 CHURCH ST, SWEETWATER, TN 37874-1181
(865) 213-8595
(865) 213-8596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12149
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006608
BLUE CROSS
—
05
—
3175370
—
TN
Enumeration date
07/13/2005
Last updated
08/22/2007
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