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Contact Information

COLETTA R AVERY
6012 TALL WILLOW DR
MEMPHIS, TN38141-7628
 Phone: 901-649-9598
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for COLETTA R AVERY · (Female)

NPI Number 1306724919
Status Active
Credentials
Entity Individual
Enumeration date 08/22/2025
Last updated 08/22/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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