Provider Demographics
NPI:1750381034
Name:EVANS, LINDA ANN YOUNGMAN (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN YOUNGMAN
Last Name:EVANS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:300 EAST HOSPITAL ROAD
Mailing Address - Street 2:DDEAMC
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905
Mailing Address - Country:US
Mailing Address - Phone:706-787-7217
Mailing Address - Fax:706-787-6004
Practice Address - Street 1:300 EAST HOSPITAL ROAD
Practice Address - Street 2:EISENHOWER ARMY MEDICAL CENTER
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-7217
Practice Address - Fax:706-787-6004
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2023-09-19
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Provider Licenses
StateLicense IDTaxonomies
GA0333202084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G05507Medicare UPIN