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Contact Information

EVAN L UNDERWOOD, MD
420 SMITH COUNTY ROAD 40
MOUNT OLIVE, MS39119
 Phone: 601-517-6019
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for EVAN L UNDERWOOD · (Male)

NPI # 1205148459
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2010
Last updated 08/22/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MS License # 23099
  • TX License # P8742
Hospital affiliation(s)
  • JEFFERSON DAVIS COMMUNITY HOSPITAL CAH - (Critical Access)
    1102 ROSE STREET
    PRENTISS, MS 39474
  • MARION GENERAL HOSPITAL - (Acute Care)
    1560 SUMRALL RD
    COLUMBIA, MS 39429
  • WALTHALL COUNTY GENERAL HOSPITAL CAH - (Critical Access)
    100 HOSPITAL DRIVE
    TYLERTOWN, MS 39667
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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