MR. Charles Edward Evans III, P.T.A.

NPI #1912976440 in Camilla, Georgia

Provider Information

NPI Number
1912976440
Entity Type
Individual
Name
MR. Charles Edward Evans III, P.T.A.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physical Therapy Assistant
Credential
P.T.A.
Enumeration Date
Mar 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
130 E BROAD ST
State
Georgia
ZIP Code
31730-1809
Phone
(229) 336-1115

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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