Individual
GEORGIA LENORA S EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 PLEASANT GROVE RD, LYNCHBURG, SC 29080-9238
(803) 468-7223
Mailing address
1550 PLEASANT GROVE RD, LYNCHBURG, SC 29080-9238
(803) 468-7223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24868
SC
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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