Doctor Name: | DR. WALTER JAMES EVANS |
NPI Number: | 1871609388 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 18276 |
Business Practice Address: | 436 W Palmetto St Florence, SC - 295014425 |
Business Phone Number: | 8436692007 |
Business Fax Number: | 8436696677 |
Mailing Address: | 436 W Palmetto St, FLORENCE |
State: | SC |
Postal Code: | 295014425 |
Phone Number: | 8436692007 |
Fax Number: | 8436696677 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 01/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 18276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |