Fredrick M Avery, Certified Prosthetis
Prosthetic/Orthotic Supplier in Knoxville, TN. Individual provider (NPI-1).
NPI number1932640992
StatusActive
Last updated in NPPESMar 10, 2017
Details
- NPI
- 1932640992
- Entity type
- Individual (NPI-1)
- Name
- Fredrick M Avery
- Credential
- Certified Prosthetis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2017
- Last updated
- Mar 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | PRO0000000036 | TN | Yes |
Practice location
2900 Sutherland AveKnoxville, TN 37919-4536
Phone 865-524-2285 · Fax 865-971-5445
Mailing address
515 Villa Crest DrKnoxville, TN 37923-6016
Phone 865-691-7967 · Fax 865-971-5445
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