Individual
MARTIN D AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3813
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL32849
SC
2086S0127X
Trauma Surgery Physician
Primary
2015-00377
NC
Other
Enumeration date
06/18/2010
Last updated
08/31/2016
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