EVAN JAMES BAGWELL

ATHENS, GA
NPI1164904264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-09-05
Last Update Date2018-09-05
Business Address
EVAN JAMES BAGWELL
330 RIVER RD
ATHENS, GA 30602-1538
Phone number: 864-934-7523
Mailing Address
EVAN JAMES BAGWELL
153 MASSEY RD
PIEDMONT, SC 29673-9056
Phone number:
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