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Anthony Evans
NPI 1922753755 · on the registry since 2022 · sole proprietor
Practice
- Address
- 509 S Main St Ste 20
Petal, MS 39465 - Phone
- (601) 336-4144
- Fax
- (601) 582-7697
- Organisation at this address
- Fit Jam Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-21
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