Individual
DR. ERIC CHRISTOPHER EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 HIGHLAND WAY STE 200, MADISON, MS 39110
(601) 200-4141
(601) 200-4150
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20650
MS
207R00000X
Internal Medicine Physician
T-1983
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09181241
—
MS
Enumeration date
07/05/2007
Last updated
02/26/2019
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