Gretchen Evans
Prosthetist
832 Summit Park Trl
McDonough
, Georgia 30253-7455
Gretchen Evans
Prosthetist
832 Summit Park Trl
McDonough
, Georgia 30253-7455
(513) 600-5403
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Gretchen Evans
- 832 Summit Park Trl
- Mcdonough, GA
- Zip : 30253-7455
- Phone : (513) 600-5403
Second Address
- Gretchen Evans
- 832 Summit Park Trl
- Mcdonough, GA
- Zip : 30253-7455
- Phone : (513) 600-5403
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1487242780 |
|---|---|
| Provider Name | Gretchen Evans |
| First Address | Mcdonough, GA 30253-7455 |
| Second Address | Mcdonough, GA 30253-7455 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2021 |
| Last Update Date | 04/01/2021 |
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.