Individual
DR. EVIN HENDERSON SIDES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PERIMETER PARK DR, MORRISVILLE, NC 27560-9714
(919) 481-5742
(919) 481-5707
Mailing address
1932 BRASSFIELD RD, RALEIGH, NC 27614-9450
(919) 847-9592
(919) 481-5707
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
14767
NC
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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