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Individual

ARNITA F AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
5825 GLENRIDGE DR, BUILDING 2, SUITE 110, ATLANTA, GA 30328-5387
(404) 255-4900
(404) 255-4899
Mailing address
5825 GLENRIDGE DR, BUILDING 2, SUITE 110, ATLANTA, GA 30328-5387
(404) 255-4900
(404) 255-4899

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
000632
GA
213E00000X
Podiatrist
000632
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
000632
GA
213ER0200X
Radiology Podiatrist
000632
GA
213ES0000X
Sports Medicine Podiatrist
000632
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000632
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GRP6860
MEDICARE GROUP NUMBER
GA
Enumeration date
09/01/2006
Last updated
09/13/2016
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