Individual
MRS. COURTNEY ELIZABETH AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 CHARTER BLVD STE 400, MACON, GA 31210-4882
(478) 471-0089
Mailing address
103 SPIKE TRL, WARNER ROBINS, GA 31088-2856
(478) 233-0910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN248955
GA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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