Evans, William A

Evans, William A is an individual health care provider with primary practice located at 2142 W Broad St Bldg 100 Ste 200 , Athens GA 30606-3509. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Evans, William A can be contacted via phone (706) 548-6881.

Contact Information

Primary practice address
2142 W Broad St Bldg 100 Ste 200 Athens GA 30606-3509
Phone: (706) 548-6881
Fax: (706) 546-0821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN275424 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN275424 Georgia

Profile Details

NPI number 1568035681
LBN Legal business name Evans, William A
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2021
Last updated Jan 15th, 2024 - about 2 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 1568035681 NPPES
Other 2021040471 ANCC CERTIFICATION NUMBER
Other RN275424 ANCC CERTIFICATION NUMBER

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