Individual
AVERY WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
485 FOLEY ST UNIT 1807, SOMERVILLE, MA 02145-1316
(901) 305-9022
Mailing address
485 FOLEY ST UNIT 1807, SOMERVILLE, MA 02145-1316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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