Provider Demographics
NPI:1205259496
Name:AVERY PARTNERS, INC
Entity type:Organization
Organization Name:AVERY PARTNERS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-642-6100
Mailing Address - Street 1:1455 OLD ALABAMA ROAD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3232
Mailing Address - Country:US
Mailing Address - Phone:276-466-2777
Mailing Address - Fax:678-367-4603
Practice Address - Street 1:330 CUMMING STREET
Practice Address - Street 2:SUITE A
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-3232
Practice Address - Country:US
Practice Address - Phone:276-466-2777
Practice Address - Fax:678-367-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health