Evangelista, Nick R.

Evangelista, Nick R. is an individual health care provider with primary practice located at 210 E Derenne Ave , Savannah GA 31405-6736. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Evangelista, Nick R. can be contacted via phone (912) 644-5300.

Contact Information

Primary practice address
210 E Derenne Ave Savannah GA 31405-6736
Phone: (912) 644-5300
Fax: (912) 644-5260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004375 Georgia

Profile Details

NPI number 1770535254
LBN Legal business name Evangelista, Nick R.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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