Willie Evans is a Clinic/center in Monroe, North Carolina. Willie Evans practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Willie Evans is 1871642413. The last update date is 2008-06-26.
Willie Evans's current location address is 2101 White Store Rd, Monroe, North Carolina. You can contact this provider via phone number 7042925162 and fax number 7042824142. The mailing address for Willie Evans is 2101 White Store Rd, Monroe, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willie Evans |
|---|---|
| Address | 2101 White Store Rd, Monroe, North Carolina |
| Phone Number | 7042925162 |
| Fax Number | 7042824142 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Evans Willie |
| Telephone Number | 7042965162 |
NPI Number Detail
| NPI Number | 1871642413 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
| Address | 2101 White Store Rd |
|---|---|
| City | Monroe |
| State | North Carolina (NC) |
| Post Code | 281128733 |
| Phone Number | 7042925162 |
| Fax Number | 7042824142 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | FCL090012 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7802668 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Willie Evans?
The Willie Evans has been issued the NPI (National Provider Identifier) 1871642413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Willie Evans's facilities are situated?
The facilities of Willie Evans are physically located at the following address: 2101 White Store Rd, Monroe, NC, 281128733.
What is the Willie Evans's area of specialization and corresponding taxonomy classification?
The Willie Evans's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
When was the Willie Evans's 1871642413 issued?
The Willie Evans's 1871642413 was issued on 2007-01-10.
When was the information related to Willie Evans most recently updated or refreshed?
The details pertaining to the Willie Evans, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-26.