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Individual
STEPHEN A AVERA
Active
Individual
STEPHEN A AVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000059602
TN
207R00000X
Internal Medicine Physician
MD214746
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0000059602
TN
Other
Enumeration date
04/05/2016
Last updated
05/14/2025
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