Individual
RYAN AVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 JOHNSON RD, SOUTH PRINCE GEORGE, VA 23805-7100
(435) 327-2722
Mailing address
11301 JOHNSON RD, SOUTH PRINCE GEORGE, VA 23805-7100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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