| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/05/2020 |
| Last Update Date | 06/05/2020 |
| Certification Date | 06/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699399519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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