Fredrick M Avery, CERTIFIED PROSTHETIS Valid NPI

Individual provider · Prosthetic/Orthotic Supplier · Knoxville, TN

NPI

1932640992

Type

Individual (Type 1)

Primary specialty

Prosthetic/Orthotic Supplier

Specialty group

Suppliers

Taxonomy code

335E00000X

License number

PRO0000000036 (TN)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-03-10

Last updated

2017-03-10