Jake L Evans

NPI #1174018436 in Leesburg, Georgia

Provider Information

NPI Number: 1174018436
Entity Type: Individual
Name: Jake L Evans
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 28, 2018
Last Updated: Jun 28, 2018

Practice Location

Address: 138 OAKLAND PKWY
City: Leesburg
State: Georgia
ZIP Code: 31763-7200
Phone: (229) 432-2213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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