| Avery Wood Md Llc | |
|
10 Bank Street North Bennington VT 05257 | |
| (888) 421-6801 | |
| (888) 421-6801 |
| Full Name | Avery Wood Md Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10 Bank Street, North Bennington, Vermont |
| Authorized Official Name and Position | Avery Wood (OWNER) |
| Authorized Official Contact | 8884216801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avery Wood Md Llc Po Box 726 North Bennington VT 05257-0726 Ph: (888) 421-6801 | Avery Wood Md Llc 10 Bank Street North Bennington VT 05257 Ph: (888) 421-6801 |
| NPI Number | 1588834931 |
|---|---|
| Provider Enumeration Date | 03/01/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588834931 | NPI | - | NPPES |
| 1014938 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 430F01 (Vermont) | Primary |
Dr. Shellie Burdick Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Bank St, North Bennington, VT 05257 Phone: 802-732-3010 Fax: 802-732-3010 |