Fogle, Evander Fletcher
Fogle, Evander Fletcher is an individual health care provider with primary practice located at 5671 Peachtree Dunwoody Rd Ne Suite 900, Atlanta GA 30342-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fogle, Evander Fletcher can be contacted via phone (404) 847-9999.Contact Information
Primary practice address
5671 Peachtree Dunwoody Rd Ne Suite 900
Atlanta GA 30342-5000
Phone: (404) 847-9999
Fax: (404) 531-8466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 047747 | Georgia |
Profile Details
| NPI number | 1316938244 |
|---|---|
| LBN Legal business name | Fogle, Evander Fletcher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jun 30th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316938244 | NPPES |
| Georgia | MEDICAID | 848200493A | |
| Georgia | MEDICAID | 848200493B |
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