Janet Avery MD Plc

NPI #1053638809 in Reston, Virginia

Provider Information

NPI Number: 1053638809
Entity Type: Organization
Organization Name: Janet Avery MD Plc
Primary Specialty: Internal Medicine
Enumeration Date: May 3, 2010
Last Updated: May 3, 2010

Practice Location

Address: 1860 TOWN CENTER DR
Address 2: SUITE 310
City: Reston
State: Virginia
ZIP Code: 20190-5896
Phone: (703) 481-5907

Authorized Official

Name: MS. KETKESONE NANTHAVONGSA
Title: BILLER
Phone: (703) 986-7175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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