Provider Demographics
NPI:1174078190
Name:AVERY PARTNERS, INC
Entity type:Organization
Organization Name:AVERY PARTNERS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OUTPATIENT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEIVES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:859-585-3002
Mailing Address - Street 1:1805 OLD ALABAMA RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2259
Mailing Address - Country:US
Mailing Address - Phone:770-642-6100
Mailing Address - Fax:
Practice Address - Street 1:2970 UNIVERSITY PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2401
Practice Address - Country:US
Practice Address - Phone:941-360-1988
Practice Address - Fax:941-360-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation