Averill, Mary Carlisle
Averill, Mary Carlisle is an individual health care provider with primary practice located at 1601 Brenner Ave , Salisbury NC 28144-2515. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Averill, Mary Carlisle can be contacted via phone (704) 638-9000.Contact Information
Primary practice address
1601 Brenner Ave
Salisbury NC 28144-2515
Phone: (704) 638-9000
Fax: (704) 638-3355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G3973 | Texas |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G3973 | Texas |
Profile Details
| NPI number | 1679535611 |
|---|---|
| LBN Legal business name | Averill, Mary Carlisle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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