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Individual

DONNA PALLASSINIO EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
847 FARRAR DR, CONWAY, SC 29526-8747
(843) 347-9487
(843) 347-9574
Mailing address
847 FARRAR DR, CONWAY, SC 29526-8747
(843) 347-9487
(843) 347-9574

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2968
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20055544
SELECT HEALTH
SC
05
7003984
NC
01
AA15178516
MEDICARE
SC
05
NP1018
SC
01
P00403923
RAIL ROAD MEDICARE
SC
Enumeration date
08/24/2006
Last updated
07/07/2025
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