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NPI Code Detail

MEDICARE: RICHARD ALAN EVANS M.D.

MEDICARE: RICHARD ALAN 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
1208600000XSurgery PhysicianMD0000030619TN
2208600000XSurgery Physician200101197NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117-00204OTHERUHC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31292AOTHERNCBC/BS

General Provider Information

NPI Number : 1689637290
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ALAN EVANS M.D.
Provider Business Mailing Address
First Line : 2537 MOUNTAIN LAKE RD
Second Line :
City : ASHEBORO
State : NC
Zip : 27205-4497
Country : US
Telephone Number : 336-963-2007
Fax Number : 336-625-1136
Provider Business Practice Location Address
First Line : 2401 S SIDE BLVD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-3311
Country : US
Telephone Number : 336-604-2300
Fax Number : 336-625-1136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 01/11/2026

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