Individual
FREDRICK M AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PROSTHETIS
Contact information
Practice address
2900 SUTHERLAND AVE, KNOXVILLE, TN 37919-4536
(865) 524-2285
(865) 971-5445
Mailing address
515 VILLA CREST DR, KNOXVILLE, TN 37923-6016
(865) 691-7967
(865) 971-5445
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PRO0000000036
TN
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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