NPI | 1295904902 |
---|---|
Former Legal Business Name | PAMELA R. EVANS, MD, PC |
Entity Type | Organization |
Authorized Contact | SHELLY BAKER Credentialling/Billing 731-986-2933 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN MD0000031994) |
Enumeration Date | 2008-02-27 |
Last Update Date | 2011-07-26 |