License holder summary

EVANGELISTA, NICK RUSSELL is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for EVANGELISTA, NICK RUSSELL is 210 EAST DERENNE AVENUE, Savannah 31405. This doctor license is not current. The license was granted 10/08/2004 and expired on 01/31/2016.

Georgia

Composite Medical Board

EVANGELISTA, NICK RUSSELL
Medical - Physician Assistant
License number
004375
Date granted
10/08/2004
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
In Renewal
Address
210 EAST DERENNE AVENUE
georgiadoctors.net
ID 38097884
LAST UPDATED 2024-04-02 08:06:07 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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