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1770535254
NICK R. EVANGELISTA
SAVANNAH, GA
NPI
1770535254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 004375)
Enumeration Date
2006-05-16
Last Update Date
2009-12-18
Business Address
NICK R. EVANGELISTA PA
210 E DERENNE AVE
SAVANNAH, GA 31405-6736
Phone number: 912-644-5300
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Mailing Address
NICK R. EVANGELISTA PA
210 E DERENNE AVE
SAVANNAH, GA 31405-6736
Phone number: 912-644-5300
Copy
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