Individual
AVERY CHRISTIAN LEE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
89 CRYE LEIKE DR, FORT OGLETHORPE, GA 30742-4055
(706) 858-8832
Mailing address
89 CRYE LEIKE DR, FORT OGLETHORPE, GA 30742-4055
(706) 858-8832
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS001156
GA
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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