Individual
MR. HAROLD DARRNELL AVERY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3757 SKYLARK DR, MEMPHIS, TN 38109-3529
(901) 618-7153
Mailing address
3757 SKYLARK DR, MEMPHIS, TN 38109-3529
(901) 618-7153
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
071794750
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071794750
DRIVER LICENSE NUMBER
TN
Enumeration date
11/02/2019
Last updated
11/02/2019
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