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NPI Code Detail

MEDICARE: ANGELA R EVANS NP-C

MEDICARE:   ANGELA R EVANS  NP-C
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
1163WS0121XPlastic Surgery Registered Nurse1568GA
2363L00000XNurse Practitioner137531GA
3363LF0000XFamily Nurse Practitioner137531GA

General Provider Information

NPI Number : 1700935293
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA R EVANS NP-C
Provider Business Mailing Address
First Line : 980 JOHNSON FY RD NE STE 110
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1607
Country : US
Telephone Number : 404-303-7004
Fax Number : 404-303-7020
Provider Business Practice Location Address
First Line : 980 JOHNSON FY RD NE STE 110
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1607
Country : US
Telephone Number : 404-303-7004
Fax Number : 404-303-7020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 10/25/2021

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Directions to “ ANGELA R EVANS NP-C” Practice Location

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