| Doctor Name: | DR. MARY PALMQUIST EVANS |
| NPI Number: | 1346219029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101233405 |
| Business Practice Address: | 210 Elm Ave Louisa, VA - 230936578 |
| Business Phone Number: | 4342427077 |
| Business Fax Number: | |
| Mailing Address: | Po Box 6126, CHARLOTTESVILLE |
| State: | VA |
| Postal Code: | 229016126 |
| Phone Number: | 4342427077 |
| Fax Number: | |
| NPI Enumeration Date: | 03/16/2006 |
| NPI Last Update Date: | 04/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101233405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |