Individual
MEREDITH MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
55 WHITCHER ST NE STE 460, MARIETTA, GA 30060-1171
(678) 388-1577
(770) 427-1492
Mailing address
55 WHITCHER ST NE STE 460, MARIETTA, GA 30060-1171
(678) 388-1577
(770) 427-1492
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN257711
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F01211111
AANP
—
01
—
RN257711
GEORGIA SECRETARY OF STATE
GA
Enumeration date
11/12/2020
Last updated
09/14/2023
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