Paul Andrew Evangelisti, MD
Otolaryngology, Otolaryngology/Facial Plastic Surgery in Sumter, SC. Individual provider (NPI-1).
NPI number1982625745
StatusActive
Last updated in NPPESAug 16, 2025
Details
- NPI
- 1982625745
- Entity type
- Individual (NPI-1)
- Name
- Paul Andrew Evangelisti
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Certification date
- Aug 16, 2025
- Last updated
- Aug 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | 22833 | SC | Yes |
| 207Y00000X | Otolaryngology | 22833 | SC | |
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | 22833 | SC |
Practice location
100 N Sumter StSuite 400
Sumter, SC 29150-4916
Phone 839-200-7205 · Fax 803-778-5403
Mailing address
100 N Sumter StSuite 400
Sumter, SC 29150-4916
Phone 839-200-7205 · Fax 803-778-5403
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