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Organization

DR. GEORGE H. EVANCHO, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE H. EVANCHO D.P.M. (OWNER)
(757) 547-0123
Entity
Organization

Contact information

Practice address
632 CEDAR RD, SUITE B, CHESAPEAKE, VA 23322-8376
(757) 547-0123
(757) 547-2412
Mailing address
632 CEDAR RD, SUITE B, CHESAPEAKE, VA 23322-8376
(757) 547-0123
(757) 547-2412

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0103000375
VA
332B00000X
Durable Medical Equipment & Medical Supplies
179
NC

Other

Enumeration date
08/11/2006
Last updated
12/03/2009
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