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Contact Information

LISA M AVERY, MD
1260 HIGHWAY 54 W
FAYETTEVILLE, GA30214-4514
 Phone: 214-619-1910
 Fax: 214-619-1914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LISA M AVERY · (Female)

NPI Number 1699008409
Status Active
Credentials MD
Entity Individual
Enumeration date 09/11/2009
Last updated 04/01/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME 94226
  • GA License # 053486
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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