Healthcare Provider Details

I. General information

NPI: 1548995772
Provider Name (Legal Business Name): EVANS WOMEN'S CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3493 VETERANS DR N STE A
HUNTINGDON TN
38344-6232
US

IV. Provider business mailing address

PO BOX 465
HUNTINGDON TN
38344-0465
US

V. Phone/Fax

Practice location:
  • Phone: 731-986-2933
  • Fax: 731-986-2938
Mailing address:
  • Phone: 731-986-2933
  • Fax: 731-986-2938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA RUTH EVANS
Title or Position: MD/OWNER
Credential: MD
Phone: 731-986-2933