Individual
SHIRLEY BANNISTER AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
822 WESTBOROUGH RD, KNOXVILLE, TN 37909
(865) 693-0875
Mailing address
822 WESTBOROUGH RD, KNOXVILLE, TN 37909
(865) 693-0875
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD4658
TN
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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