Evans, Eric Christopher

Evans, Eric Christopher is an individual health care provider with primary practice located at 106 Highland Way Ste 200 , Madison MS 39110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Evans, Eric Christopher can be contacted via phone (601) 200-4141.

Contact Information

Primary practice address
106 Highland Way Ste 200 Madison MS 39110
Phone: (601) 200-4141
Fax: (601) 200-4150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X T-1983 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20650 Mississippi

Profile Details

NPI number 1871791434
LBN Legal business name Evans, Eric Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Feb 26th, 2019 - about 7 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 1871791434 NPPES
Mississippi MEDICAID 09181241

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