Nathanson, Avery H

Nathanson, Avery H is an individual health care provider with primary practice located at 2665 N Decatur Rd Ste 230, Decatur GA 30033-6149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Nathanson, Avery H can be contacted via phone (404) 499-0533.

Contact Information

Primary practice address
2665 N Decatur Rd Ste 230 Decatur GA 30033-6149
Phone: (404) 499-0533
Fax: (404) 499-0531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 054815 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 054815 Georgia

Profile Details

NPI number 1679574198
LBN Legal business name Nathanson, Avery H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 27th, 2010 - about 16 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 1679574198 NPPES
Georgia MEDICAID 185405668A

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