Individual
DR. JAMES H EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 WILKESBORO ST, MOCKSVILLE, NC 27028-2321
(336) 753-0800
Mailing address
101 WILKESBORO ST, MOCKSVILLE, NC 27028
(336) 753-0800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9300103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30915
BLUE CROSS/BLUE SHIELD
NC
05
—
8930915
—
NC
Enumeration date
06/09/2006
Last updated
05/12/2010
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