Dr Allen Madison Avery Iii, DC | |
2024 Powers Ferry Rd Se, Atlanta, GA 30339-5011 | |
(404) 394-3768 | |
Not Available |
Full Name | Dr Allen Madison Avery Iii |
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Gender | Male |
Speciality | Chiropractor |
Location | 2024 Powers Ferry Rd Se, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902944515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR007731 (Georgia) | Primary |
Provider Name | Dream Medical & Rehab Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790018554 PECOS PAC ID: 6204010051 Enrollment ID: O20110404000133 |
Mailing Address | Practice Location Address |
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Dr Allen Madison Avery Iii, DC 2024 Powers Ferry Rd Se, Ste 110, Atlanta, GA 30339-7217 Ph: (404) 394-3768 | Dr Allen Madison Avery Iii, DC 2024 Powers Ferry Rd Se, Atlanta, GA 30339-5011 Ph: (404) 394-3768 |
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