Evan James Bagwell is a student in an organized health care education training program in Athens, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Evan James Bagwell NPI is 1164904264. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
330 RIVER RD
ATHENS, GA
ZIP 30602-538
Phone: (864) 934-7523
The enumeration date for this NPI number is 9/5/2018 and was last updated on 9/5/2018.