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NPI Code Detail

MEDICARE: DR. LINDA ANN YOUNGMAN EVANS M.D.

MEDICARE:  DR. LINDA ANN YOUNGMAN EVANS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician033320GA
22084P0804XChild & Adolescent Psychiatry Physician033320GA

General Provider Information

NPI Number : 1750381034
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA ANN YOUNGMAN EVANS M.D.
Provider Business Mailing Address
First Line : 300 EAST HOSPITAL ROAD
Second Line : DDEAMC
City : FORT GORDON
State : GA
Zip : 30905
Country : US
Telephone Number : 706-787-7217
Fax Number : 706-787-6004
Provider Business Practice Location Address
First Line : 300 EAST HOSPITAL ROAD
Second Line : EISENHOWER ARMY MEDICAL CENTER
City : FORT GORDON
State : GA
Zip : 30905
Country : US
Telephone Number : 706-787-7217
Fax Number : 706-787-6004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 09/19/2023

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