Healthcare Provider Details

I. General information

NPI: 1396475604
Provider Name (Legal Business Name): EVANA FRANCIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date: 03/20/2023
Reactivation Date: 06/19/2023

III. Provider practice location address

100 WOODRUFF CUT STE 327
ATLANTA GA
30322
US

IV. Provider business mailing address

550 PEACHTREE STREET NW MOT BUILDING STE 1135
ATLANTA GA
30308
US

V. Phone/Fax

Practice location:
  • Phone: 404-686-1424
  • Fax:
Mailing address:
  • Phone: 404-686-1424
  • Fax: 404-778-2109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: