Evolve Health Services Llc | |
201 19th St E Ste B Jasper AL 35501-5457 | |
(205) 387-1403 | |
(205) 387-1418 |
Full Name | Evolve Health Services Llc |
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Speciality | Family Medicine |
Location | 201 19th St E Ste B, Jasper, Alabama |
Authorized Official Name and Position | Dustin Beaty (OWNER) |
Authorized Official Contact | 2053871403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evolve Health Services Llc 201 19th St E Ste B Jasper AL 35501-5457 Ph: (205) 387-1403 | Evolve Health Services Llc 201 19th St E Ste B Jasper AL 35501-5457 Ph: (205) 387-1403 |
NPI Number | 1699399519 |
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Provider Enumeration Date | 06/05/2020 |
Last Update Date | 06/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699399519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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