Provider Demographics
NPI:1831439744
Name:EVANS, FRANK OWEN JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:OWEN
Last Name:EVANS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-3533
Mailing Address - Country:US
Mailing Address - Phone:478-452-5167
Mailing Address - Fax:
Practice Address - Street 1:220 E MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-3533
Practice Address - Country:US
Practice Address - Phone:478-452-5167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12249207RI0200X
NC83983207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease