| Janet Avery MD PLC | |
|
1860 Town Center Dr Suite 310 Reston VA 20190-5896 | |
| (703) 481-5907 | |
| (703) 435-0660 |
| Full Name | Janet Avery MD PLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1860 Town Center Dr, Reston, Virginia |
| Authorized Official Name and Position | Ketkesone Nanthavongsa (BILLER) |
| Authorized Official Contact | 7039867175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janet Avery MD PLC 1860 Town Center Dr Suite 310 Reston VA 20190-5896 Ph: (703) 481-5907 | Janet Avery MD PLC 1860 Town Center Dr Suite 310 Reston VA 20190-5896 Ph: (703) 481-5907 |
| NPI Number | 1053638809 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 05/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053638809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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