Denise Michelle Averett, CEO
Contractor in Columbus, GA. Individual provider (NPI-1).
NPI number1366089773
StatusActive
Last updated in NPPESDec 4, 2019
Details
- NPI
- 1366089773
- Entity type
- Individual (NPI-1)
- Name
- Denise Michelle Averett
- Credential
- CEO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2019
- Last updated
- Dec 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
5401 Gunboat Dr Ste 33Columbus, GA 31907-1498
Phone 706-888-0155
Mailing address
5401 Gunboat Dr Ste 33Columbus, GA 31907-1498
Phone 706-888-0155
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