Provider Demographics
NPI:1245229863
Name:EVERS, MICHAEL DOLLISH (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DOLLISH
Last Name:EVERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 RICHARD DIXON COURT
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-4116
Mailing Address - Country:US
Mailing Address - Phone:919-843-6301
Mailing Address - Fax:919-966-6356
Practice Address - Street 1:4015 OLD CLINIC BUILDING CB #7570
Practice Address - Street 2:UNC DEPT OF OB GYN
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7570
Practice Address - Country:US
Practice Address - Phone:919-843-6301
Practice Address - Fax:919-966-6356
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101236237207V00000X
NC200601374207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010261325Medicaid
I07380Medicare UPIN
VA004618C29Medicare ID - Type Unspecified