Avery, Daniel Ben

Avery, Daniel Ben is an individual health care provider with primary practice located at 230 Industrial Blvd Ste D , Dublin GA 31021-2904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Avery, Daniel Ben can be contacted via phone (478) 272-1366.

Contact Information

Primary practice address
230 Industrial Blvd Ste D Dublin GA 31021-2904
Phone: (478) 272-1366
Fax: (478) 275-2322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 058439 Georgia

Profile Details

NPI number 1740385541
LBN Legal business name Avery, Daniel Ben
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 28th, 2021 - about 3 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 1740385541 NPPES
Georgia MEDICAID 526388566C

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