National Provider Identifier Database

AVERY MAE PEDIATRICS LLC
Pediatrics


Contact Information

AVERY MAE PEDIATRICS LLC
2100 BRANFORD PL STE 301
THOMPSON'S STATION, TN37179-1010
Phone: 615-261-1313
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for AVERY MAE PEDIATRICS LLC

NPI Number 1760140917
Legal business name
LBN
AVERY MAE PEDIATRICS LLC
Authorized official SARAH ELLIOTT - (OWNER/AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 12/06/2021
Last updated 12/06/2021 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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