Individual
DR. NATHAN JOHN AVERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2061 HIGHWAY 52, MONCKS CORNER, SC 29461-5017
(843) 761-8800
(843) 761-8824
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28895
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288799
—
SC
Enumeration date
03/02/2007
Last updated
07/06/2021
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