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TREVOR ALVERSON NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1184179558
Individual Registrant: TREVOR ALVERSON NP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1436 BROADRICK DR STE B DALTON, GA 30720 US
Tel: 706-226-3434 Fax: 706-226-4820
Tel: 706-226-3434 Fax: 706-226-4820
Contact information for business:
1436 BROADRICK DR STE B DALTON, GA 30720-3009 US
Tel: 706-226-3434 Fax: 706-226-4820
Tel: 706-226-3434 Fax: 706-226-4820
Registration Information:
NPI: 1184179558
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN167279 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| Q025414 | TN | 05 |
