Mary Richard Evans, PHYSICIANASSISTANT
Mary Richard Evans, PHYSICIANASSISTANT is a Physician Assistant in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.
- Licensed in
- GA
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
5665 New Northside DrAtlanta, GA 30328-5831
Phone: (770) 874-5400
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10687 (GA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1104592377 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | August 18, 2021 |
| Last updated in NPPES | October 14, 2022 |
| Certification date | October 14, 2022 |
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