Healthcare Provider Details

I. General information

NPI: 1811596208
Provider Name (Legal Business Name): LINDA SUZANNE EVANS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 EXCHANGE ST
RICHMOND HILL GA
31324-7600
US

IV. Provider business mailing address

53 EXCHANGE ST
RICHMOND HILL GA
31324-7600
US

V. Phone/Fax

Practice location:
  • Phone: 912-459-3030
  • Fax: 912-459-3031
Mailing address:
  • Phone: 912-459-3030
  • Fax: 912-459-3031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number032826
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: