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NPI Code Detail

MEDICARE: JOHN THOMAS AVENT M.D.

MEDICARE: JOHN THOMAS AVENT M.D.
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
1207VG0400XGynecology Physician20230NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C80952OTHERNCUPIN

General Provider Information

NPI Number : 1861681512
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN THOMAS AVENT M.D.
Provider Business Mailing Address
First Line : 111 S FAIRVIEW RD
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27801-6971
Country : US
Telephone Number : 252-446-3333
Fax Number : 252-446-0426
Provider Business Practice Location Address
First Line : 111 S FAIRVIEW RD
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27801-6971
Country : US
Telephone Number : 252-446-3333
Fax Number : 252-446-0426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2007
Last Update Date : 01/05/2011

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