Averill, Nathan John

Averill, Nathan John is an sole proprietor health care provider with primary practice located at 2061 Highway 52 , Moncks Corner SC 29461-5017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Averill, Nathan John can be contacted via phone (843) 761-8800.

Contact Information

Primary practice address
2061 Highway 52 Moncks Corner SC 29461-5017
Phone: (843) 761-8800
Fax: (843) 761-8824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28895 South Carolina

Profile Details

NPI number 1891824355
LBN Legal business name Averill, Nathan John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jul 6th, 2021 - about 4 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 1891824355 NPPES
South Carolina MEDICAID 288799

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