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Individual
ARNITA F AVERY
Active
Individual
ARNITA F AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
000632
GA
213E00000X
Podiatrist
000632
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
000632
GA
213ER0200X
Radiology Podiatrist
000632
GA
213ES0000X
Sports Medicine Podiatrist
000632
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000632
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6860
MEDICARE GROUP NUMBER
GA
Enumeration date
09/01/2006
Last updated
09/13/2016
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