Healthcare Provider Details

I. General information

NPI: 1205259496
Provider Name (Legal Business Name): AVERY PARTNERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 09/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 CUMMING STREET SUITE A
ABINGDON VA
24210-3232
US

IV. Provider business mailing address

1455 OLD ALABAMA ROAD SUITE 160
ROSWELL GA
30076-3232
US

V. Phone/Fax

Practice location:
  • Phone: 276-466-2777
  • Fax: 678-367-4603
Mailing address:
  • Phone: 276-466-2777
  • Fax: 678-367-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateVA

VIII. Authorized Official

Name: MR. JEFF MOORE
Title or Position: CEO
Credential:
Phone: 770-642-6100