IndividualActive
Glenn Evans, MD
NPI 1285623744 · Interventional Cardiology Physician · Douglas, GA
Provider details
- NPI number
- 1285623744
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 034826 (GA)
Practice location
1305 Ocilla Rd
Douglas, GA 31533-2209
Phone: (912) 384-0600
Fax: (912) 384-0601
Mailing address
Po Box 1377
Douglas, GA 31534-1377
Registry dates
- Enumerated
- 2005-10-18
- Last updated
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.