Individual
DANIEL BEN AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 INDUSTRIAL BLVD STE D, DUBLIN, GA 31021-2904
(478) 272-1366
(478) 275-2322
Mailing address
3400C OLD MILTON PKWY STE 270, ALPHARETTA, GA 30005-4438
(770) 442-1911
(478) 246-6155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058439
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526388566C
—
GA
Enumeration date
09/14/2006
Last updated
12/28/2021
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