Individual
CARLA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
55814
NC
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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