MEDICARE: TOREY DEON EVANS

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1972476661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOREY DEON EVANS

Provider Business Mailing Address
First Line	:	303 CENTURY DR
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-0022
Country	:	US
Telephone Number	:	818-370-5235
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 CENTURY DR
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-0022
Country	:	US
Telephone Number	:	818-370-5235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	10/07/2025

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Directions to “ TOREY DEON EVANS ” Practice Location

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