Evan James Bagwell
Evan James Bagwell is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
330 River RdAthens, GA 30602-1538
Phone: (864) 934-7523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1164904264 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 5, 2018 |
| Last updated in NPPES | September 5, 2018 |
| Mailing address | 153 Massey Rd, Piedmont, SC 29673-9056 |
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