Individual
AVERY H NATHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2665 N DECATUR RD STE 440, DECATUR, GA 30033-6146
(404) 712-7533
(404) 501-7652
Mailing address
2665 N DECATUR RD STE 440, DECATUR, GA 30033-6146
(404) 712-7533
(404) 501-7652
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
054815
GA
207RP1001X
Pulmonary Disease Physician
054815
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
054815
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185405668A
—
GA
Enumeration date
08/09/2005
Last updated
11/03/2024
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