Individual
JAY MARK EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 MEADOWBRIDGE RD, SUITE 200, MECHANICSVILLE, VA 23116-2331
(804) 730-2121
(804) 730-0563
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101046958
VA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101046958
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6408508
—
VA
Enumeration date
07/28/2006
Last updated
02/19/2015
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