Evans, Brian Randall

Evans, Brian Randall is an sole proprietor health care provider with primary practice located at 309 W Pine St , Florence SC 29501-4726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Evans, Brian Randall can be contacted via phone (843) 472-5255.

Contact Information

Primary practice address
309 W Pine St Florence SC 29501-4726
Phone: (843) 472-5255
Fax: (843) 472-5179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME96084 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X 33525 South Carolina

Profile Details

NPI number 1457365900
LBN Legal business name Evans, Brian Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Apr 26th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457365900 NPPES
South Carolina Other P01580077 RAILROAD MEDICARE
South Carolina MEDICAID Q014A RAILROAD MEDICARE

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