Individual
STEPHEN L AVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
62 MEDICAL DR, LINDEN, TN 37096-3327
(931) 589-2222
(931) 589-2400
Mailing address
62 MEDICAL DR, LINDEN, TN 37096-3327
(931) 589-2222
(931) 589-2400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11696
TN
207R00000X
Internal Medicine Physician
11696
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3189276
—
TN
Enumeration date
09/25/2006
Last updated
10/30/2024
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