IndividualActive
Elesyia Outlaw-Evans, MD
NPI 1821115304 · Radiation Oncology Physician · Newnan, GA
Provider details
- NPI number
- 1821115304
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2004 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone: (770) 400-6349
Fax: (770) 400-6349
Approximate (ZIP-level) locationGet directions
Mailing address
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2023-02-01
- Certified
- 2023-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.