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CURTIS LAMAR AVERA AA
>> Anesthesiologist Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1346348331
Individual Registrant: CURTIS LAMAR AVERA AA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2501 N PATTERSON ST SGMC VALDOSTA, GA 31602-1735 US
Tel: 229-244-6852 Fax: 229-242-2385
Tel: 229-244-6852 Fax: 229-242-2385
Contact information for business:
2501 N PATTERSON ST SGMC VALDOSTA, GA 31602-1735 US
Tel: 229-244-6852 Fax: 229-242-2385
Tel: 229-244-6852 Fax: 229-242-2385
Registration Information:
NPI: 1346348331
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 002681 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
