Individual
MR. COURTNEY DESHUN AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
4630 MERCHANTS PARK CIR STE 705, COLLIERVILLE, TN 38017-9114
(901) 930-5288
Mailing address
4630 MERCHANTS PARK CIR STE 705, COLLIERVILLE, TN 38017-9114
(901) 930-5288
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DPO0000002710
TN
Other
Enumeration date
05/25/2022
Last updated
05/22/2025
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