Individual provider · Type 1 NPI

Judson Holt Evans Iii, DO

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1790624567 Active

Practice location

1 Medical Center Blvd Winston-Salem Nc 27157
Winston Salem, NC 27157-0001

Call (336) 716-4426 Map

Mailing address

1 Medical Center Boulevard
Winston Salem, NC 27157-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1790624567

Judson Holt Evans Iii, DO's National Provider Identifier is 1790624567, issued on Mar 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 26, 2026.