DR. Shane A Avery, MD

NPI #1568452696 in Scottsburg, Indiana

Provider Information

NPI Number: 1568452696
Entity Type: Individual
Name: DR. Shane A Avery, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 28, 2005
Last Updated: Mar 7, 2017

Practice Location

Address: 1469 NORTH GARDNER
City: Scottsburg
State: Indiana
ZIP Code: 47170-0290
Phone: (812) 752-1151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Emergency Medicine	207P00000X

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