Wesley Averill
Family Medicine in Greenville, SC. Individual provider (NPI-1).
NPI number1104576321
StatusActive
Last updated in NPPESAug 5, 2025
Details
- NPI
- 1104576321
- Entity type
- Individual (NPI-1)
- Name
- Wesley Averill
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2022
- Certification date
- Aug 5, 2025
- Last updated
- Aug 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 95238 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
877 W Faris RdGreenville, SC 29605-4289
Phone 864-455-7800
Mailing address
877 W Faris RdGreenville, SC 29605-4289
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