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Individual
DR. GEORGE E AVERY
Active
Individual
DR. GEORGE E AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2214
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28622-09
OHIO WORKERS COMPENSATION
OH
01
—
350041035
RAILROAD MEDICARE
CO
01
—
C18203
MEDICARE-PTAN
CO
01
—
M10701
WORKERS COMPENSATION
CO
Enumeration date
03/31/2007
Last updated
04/07/2016
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