Dr. J.richard Lee Evanson
Orthopaedic Surgeon
300 W Hospital Road, Room 11c17 Attn: Office Of Gme Eisenhower Army Medical Center
Fort Gordon
, Georgia 30905-5650
Dr. J.richard Lee Evanson
Orthopaedic Surgeon
300 W Hospital Road, Room 11c17 Attn: Office Of Gme Eisenhower Army Medical Center
Fort Gordon
, Georgia 30905-5650
(706) 787-1745
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. J.richard Lee Evanson
- 300 W Hospital Road, Room 11c17 Eisenhower Army Medical Center
- Fort Gordon, GA
- Zip : 30905-5650
- Fax : (706) 787-1745
- Phone : (706) 787-4657
Second Address
- Dr. J.richard Lee Evanson
- 300 W Hospital Road, Room 11c17 Attn: Office Of Gme Eisenhower Army Medical Center
- Fort Gordon, GA
- Zip : 30905-5650
- Fax : (706) 787-1745
- Phone : (706) 787-4657
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 63653 | GA |
National Provider Identifier
| NPI | 1003072604 |
|---|---|
| Provider Name | Dr. J.richard Lee Evanson |
| First Address | Fort Gordon, GA 30905-5650 |
| Second Address | Fort Gordon, GA 30905-5650 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2008 |
| Last Update Date | 21/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| VAD 000 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.