Avery, Karen

Avery, Karen is an sole proprietor health care provider with primary practice located at 5870 Highway 153 Ste 122 , Hixson TN 37343-5826. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Avery, Karen can be contacted via phone (423) 243-3342.

Contact Information

Primary practice address
5870 Highway 153 Ste 122 Hixson TN 37343-5826
Phone: (423) 243-3342
Fax: (423) 402-8155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18557 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27405 Alabama

Profile Details

NPI number 1447293428
LBN Legal business name Avery, Karen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Oct 7th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447293428 NPPES
Mississippi Other 202011213 BLUE CROSS
Mississippi MEDICAID 01402598 BLUE CROSS

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