Individual
AVERY RAWLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(901) 628-2123
Mailing address
4774 CASANN AVE, MEMPHIS, TN 38128-4823
(901) 628-2122
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1089458
TX
367500000X
Certified Registered Nurse Anesthetist
31827
TN
367500000X
Certified Registered Nurse Anesthetist
901780
MS
Other
Enumeration date
06/20/2022
Last updated
03/28/2024
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