SearchGeorgia237700000X

Avery Black, HIS

NPI 1043104797 · on the registry since 2025

Practice

Address
89 Crye Leike Dr
Fort Oglethorpe, GA 30742
Phone
(706) 858-8832
Organisation at this address
Access Dme Fo
Premier Medical Equipment. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia