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NPI Code Detail

MEDICARE: ARNITA F AVERY DPM PC

MEDICARE: ARNITA F AVERY DPM PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP1101XPrimary Podiatric Medicine Podiatrist000632GA

General Provider Information

NPI Number : 1255414520
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARNITA F AVERY DPM PC
Provider Business Mailing Address
First Line : 5825 GLENRIDGE DR
Second Line : BUILDING 2, SUITE 110
City : ATLANTA
State : GA
Zip : 30328-5387
Country : US
Telephone Number : 404-255-4900
Fax Number : 404-255-4899
Provider Business Practice Location Address
First Line : 5825 GLENRIDGE DR
Second Line : BUILDING 2, SUITE 110
City : ATLANTA
State : GA
Zip : 30328-5387
Country : US
Telephone Number : 404-255-4900
Fax Number : 404-255-4899
Authorized Official
Title or Position : DPM
Name : ARNITA F AVERY
Credential : DPM
Telephone Number : 404-255-4900
Provider Enumeration Date : 10/23/2006
Last Update Date : 02/24/2016

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Directions to “ARNITA F AVERY DPM PC ” Practice Location

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