Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES EDWARD EVANS III, P.T.A.
ActiveMR. CHARLES EDWARD EVANS III, P.T.A. is a Occupational Therapist healthcare provider located in CAMILLA, Georgia. NPI 1912976440 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CAMILLA, GA
Registration Details
- NPI Number
- 1912976440
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2006 (20.232937178214 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PTA001256 (GA)
Practice Information
- Address
-
130 E BROAD STCAMILLA, GA, 317301809Browse GA providers · Browse ZIP 31730
- Phone
- 2293361115
- Fax
- 2293361151
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in CAMILLA, GA
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER CODY HICKOX | PTA | 1689996431 |
| BRET A SNOW | PTA | 1770928541 |
| MRS. JENNIFER GAIL JOHNSON | PTA | 1801266150 |
| COURTNEY L HIPPS | PTA | 1427647007 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.