Individual
CHERYL EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104A W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(864) 963-0400
(864) 963-1661
Mailing address
104A W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(864) 963-0400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23304
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T75291
—
SC
Enumeration date
02/14/2006
Last updated
07/08/2007
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