Provider Demographics
NPI:1043359151
Name:AVARD, DAVID LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LAWRENCE
Last Name:AVARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-5469
Mailing Address - Country:US
Mailing Address - Phone:912-826-5230
Mailing Address - Fax:
Practice Address - Street 1:185 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-5469
Practice Address - Country:US
Practice Address - Phone:912-826-5230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3504111N00000X
GACHIR009195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHP712260OtherOXFORD HEALTH PLANS
NH41601OtherMATTHEW THORTON
NHNA1778OtherHARVARD PILGRIM
NHAVAR352479OtherANTHEM BCBS OF NH
NHP712260OtherOXFORD HEALTH PLANS
NHAVAR352479OtherANTHEM BCBS OF NH