EVAN L UNDERWOOD

KEYSTONE HOSPITALIST SERVICES OF MS INC

Dr EVAN L UNDERWOOD is a male medical professional, specializing in Family Medicine. He graduated in 2010 from University Of Mississippi School Of Medicine.

Contact

KEYSTONE HOSPITALIST SERVICES OF MS INC

1102 ROSE ST
PRENTISS
MS
394745200

Tel: 6017924276

EVAN L UNDERWOOD Information

Npi 1205148459
Pac Id 1759507544
Professional Enrollment Id I20160121000224
Last Name UNDERWOOD
First Name EVAN
Middle Name L
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KEYSTONE HOSPITALIST SERVICES OF MS INC
Group Practice Pac Id 7517103864
Number Of Group Practice Members 41
Line 1 Street Address 1102 ROSE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PRENTISS
State MS
Zip Code 394745200
Phone Number 6017924276
Hospital Affiliation Ccn 1 251326
Hospital Affiliation Lbn 1 JEFFERSON DAVIS GENERAL HOSPITAL
Hospital Affiliation Ccn 2 250085
Hospital Affiliation Lbn 2 MARION GENERAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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