Individual
MRS. SALLY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
819 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1774
(770) 535-8900
Mailing address
819 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1774
(770) 535-8900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593260957
TAX ID
GA
Enumeration date
06/01/2007
Last updated
07/08/2007
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