Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | MD29818 | AL |
NPI | 1295871556 |
---|---|
Provider Name | Evelyn Simpkins Evans |
First Address | Montgomery, AL 36107-0365 |
Second Address | Montgomery, AL 36107-0365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 24/09/2018 |