Individual
EVELYN PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 989-4608
Mailing address
1055 RED LEAF DR, CHRISTIANSBURG, VA 24073-7688
(540) 382-8966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
654
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102201587
STATE LICENSE
VA
Enumeration date
11/10/2006
Last updated
03/07/2023
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