Provider Demographics
NPI:1710140132
Name:AVERY, RODNEY J (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:J
Last Name:AVERY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1405 JESSE JEWELL PARKWAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3806
Mailing Address - Country:US
Mailing Address - Phone:770-219-7826
Mailing Address - Fax:770-219-2625
Practice Address - Street 1:743 SPRING STREET
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-1267
Practice Address - Country:US
Practice Address - Phone:770-219-6000
Practice Address - Fax:770-219-6021
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2011-04-11
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Provider Licenses
StateLicense IDTaxonomies
IL125052097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine