Provider / Organization | NPI | Date Certified |
---|---|---|
EVAN TORLINE | 1669905055 | 2022-01-16 |
Evan Torline is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669905055. Registration indicates Evan Torline is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Evan Torline M.D. |
Practice Office Address | 4327 EL SALVADOR WAY EGLIN AFB, FL US |
Practice Office Telephone | 8508852273 |
Mailing Address | PO BOX 1720 ANDALUSIA, AL 364201229 US |
Business Telephone | 3344287056 |
Address | City / State | Phone / Fax |
---|---|---|
301 Medical Ave Ste A | Andalusia, AL 364201103 | 3344282273 / 3342221150 |
Code | Practice | License No State |
---|---|---|
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | MD.42251
AL |
MD.42251 | OTHER | AL | ALABAMA MEDICAL |