Individual
MELORAH I AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
501 N 2ND ST, RICHMOND, VA 23219-1359
(804) 828-9452
(804) 828-9282
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0215
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102205180
VA
2084P0800X
Psychiatry Physician
2020-03708
NC
Other
Enumeration date
04/29/2016
Last updated
08/28/2023
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