Individual
AVERY ELIZABETH CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060-1129
(770) 424-6893
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90842
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90842
GA LICENSE
GA
Enumeration date
03/21/2019
Last updated
03/24/2025
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