Individual
CENTRAEL T EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 PRINCE AVE, ATHENS, GA 30606-6008
(706) 546-0170
(706) 546-5015
Mailing address
1620 PRINCE AVE, ATHENS, GA 30606-6008
(706) 546-0170
(706) 546-5015
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
76821
GA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
76821
GA
Other
Enumeration date
04/08/2013
Last updated
07/18/2023
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