Individual
DAVID MICHAEL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
161 HEART DR STE B, JOHNSON CITY, TN 37604-2607
(423) 433-6390
(423) 433-6391
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007464
VA
363A00000X
Physician Assistant
2069
TN
363AS0400X
Surgical Physician Assistant
0110007464
VA
363AS0400X
Surgical Physician Assistant
Primary
2069
TN
Other
Enumeration date
10/31/2011
Last updated
04/22/2025
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