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Individual

DR. NAILA DENISE AVERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-2700
(678) 312-2730
Mailing address
PO BOX 1170, LAWRENCEVILLE, GA 30046-1170
(470) 325-0159
(470) 325-0910

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
065927
GA
2086S0102X
Surgical Critical Care Physician
Primary
065927
GA
2086S0127X
Trauma Surgery Physician
065927
GA

Other

Enumeration date
09/27/2008
Last updated
09/15/2020
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