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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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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