Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | TL28961 | SC |
NPI | 1003832155 |
---|---|
Provider Name | Maggie Wolman Evans |
First Address | Mt Pleasant, SC 29464-3787 |
Second Address | Mt Pleasant, SC 29464-3787 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 04/10/2018 |