Healthcare Provider Details

I. General information

NPI: 1801418058
Provider Name (Legal Business Name): AVERY PARTNERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 DUFF PATT HWY STE 102
DUFFIELD VA
24244-5149
US

IV. Provider business mailing address

1805 OLD ALABAMA RD STE 200
ROSWELL GA
30076-2230
US

V. Phone/Fax

Practice location:
  • Phone: 276-431-1440
  • Fax: 678-367-4603
Mailing address:
  • Phone: 770-642-6100
  • Fax: 678-367-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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