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Individual

DR. ANDREW JOHN AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 S COLLEGE ST FL 12, CHARLOTTE, NC 28244
(704) 489-3010
Mailing address
5950 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210-2108
(704) 495-6334
(704) 817-7219

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-01767
NC
207R00000X
Internal Medicine Physician
TL1334
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245433291
NC
05
5921491
NC
05
NC1696
SC
Enumeration date
06/07/2007
Last updated
05/11/2022
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