# AVERY MAE PEDIATRICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760140917
- **Authorized official:** MS. SARAH CATHERINE ELLIOTT NP (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 988-7810

## Contact information

- **Practice address:** 2100 BRANFORD PL STE 301, THOMPSONS STATION, TN 37179-1010
- **Practice address phone:** (615) 261-1313
- **Mailing address:** 2100 BRANFORD PL STE 301, THOMPSONS STATION, TN 37179-1010
- **Mailing address phone:** (615) 988-7810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2021
- **Last updated:** 12/06/2021