Individual provider · Type 1 NPI
Evelyn Rebecca Ford Twentyman, MD
Student in an Organized Health Care Education/Training Program · Atlanta, GA
NPI number
1194017293
Active
Practice location
4770 Buford Hwy
Atlanta, GA 30341-3717
Mailing address
21 Lakeview Dr NE
Atlanta, GA 30317-2640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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.
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About NPI 1194017293
Evelyn Rebecca Ford Twentyman, MD's National Provider Identifier is 1194017293, issued on May 6, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on May 26, 2016.