Organization
STEPHEN L. AVERETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L AVERETT M.D. (OWNER)
(931) 589-2222
Entity
Organization
Contact information
Practice address
62 MEDICAL DR, LINDEN, TN 37096-3327
(931) 589-2222
(931) 589-2400
Mailing address
62 MEDICAL DR, LINDEN, TN 37096-3327
(931) 589-2222
(931) 589-2400
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
11696
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3189276
—
TN
Enumeration date
02/23/2007
Last updated
02/05/2021
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