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Contact Information

MARY P EVANS MD PLC
210 ELM AVE
LOUISA, VA23093-6578
 Phone: 434-242-7077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARY P EVANS MD PLC

NPI # 1487622528
LBN Legal business name MARY P EVANS MD PLC
Authorized official MARY EVANS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2006
Last updated 04/01/2009 - About 17 years ago
Identifiers
VA License # 0101233405
VA Medicaid 010155827
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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