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1891708541
ELLIS WAYNE EVANS
MACON, GA
NPI
1891708541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 013745)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Mr. ELLIS WAYNE EVANS MD
770 PINE STREET SUITE 220
MACON, GA 31201
Phone number: 478-746-1396
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Mailing Address
Mr. ELLIS WAYNE EVANS MD
770 PINE STREET SUITE 220
MACON, GA 31201
Phone number: 478-746-1396
Copy
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