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Individual

THOMAS PAUL EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3493 VETERANS DR N, SUITE C, HUNTINGDON, TN 38344-6227
(731) 986-2933
(731) 986-2938
Mailing address
PO BOX 465, HUNTINGDON, TN 38344-0465
(731) 986-2933
(731) 986-2938

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD31824
TN
208000000X
Pediatrics Physician
MD31824
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103I113639
MEDICARE PTAN
TN
01
12263
TLC
TN
01
3130452
BLUE CROSS TENNESSEE
TN
05
3846452
TN
Enumeration date
09/13/2005
Last updated
08/16/2025
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