Evans, Misty Shawn

Evans, Misty Shawn is an individual health care provider with primary practice located at 5354 Reynolds St Ste 424, Savannah GA 31405-6011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Evans, Misty Shawn can be contacted via phone (912) 819-5999.

Contact Information

Primary practice address
5354 Reynolds St Ste 424 Savannah GA 31405-6011
Phone: (912) 819-5999
Fax: (912) 819-5980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33040 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 89040 Georgia

Profile Details

NPI number 1942293782
LBN Legal business name Evans, Misty Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Oct 3rd, 2023 - about 3 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 1942293782 NPPES
Arizona MEDICAID 479213

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