| Doctor Name: | GARETH JAMES EVANS |
| NPI Number: | 1720237845 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 4389 Beaufort Rd. Cherry Point, NC - 28533 |
| Business Phone Number: | 8582200918 |
| Business Fax Number: | |
| Mailing Address: | 487 Madison Dr, 118 HAVELOCK |
| State: | NC |
| Postal Code: | 285323603 |
| Phone Number: | 8582200918 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2008 |
| NPI Last Update Date: | 09/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |