Provider Demographics
NPI:1417393075
Name:BROWN, AVERIA HILLIARD (DC)
Entity Type:Individual
Prefix:DR
First Name:AVERIA
Middle Name:HILLIARD
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10168 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3303
Mailing Address - Country:US
Mailing Address - Phone:804-270-5700
Mailing Address - Fax:
Practice Address - Street 1:10168 W BROAD ST
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-3303
Practice Address - Country:US
Practice Address - Phone:804-270-5700
Practice Address - Fax:804-270-5705
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008990111N00000X
VA0104-557444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor