Search › Mississippi › 363LF0000X
Timothy Evans
NPI 1720095896 · on the registry since 2006
Practice
- Address
- 1301 S Adams St
Fulton, MS 38843 - Phone
- (662) 862-4422
- Fax
- (662) 862-4244
- Organisation at this address
- Convenient Care Of Fulton Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
363LF0000X - Licence states on file
- MS, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi