| Organization Name: | EVANS IMAGING, LLC |
| NPI Number: | 1144407750 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN G. ROGERS (MEDICAL DIRECTOR) |
| Mailing Address: | 4350 Towne Center Drive Suite 1000 Evans |
| State: | GA US |
| Postal Code: | 30809 |
| Phone Number: | 7068683940 |
| Fax Number: | 7068683979 |
| NPI Enumeration Date: | 01/25/2008 |
| NPI Last Update Date: | 12/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0206X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mammography |
| Taxonomy Definition: | |