SearchLouisiana101YM0800X

Macy Avery

NPI 1447804968 · on the registry since 2019 · sole proprietor

Practice

Address
1 Tiger Dr
Simsboro, LA 71275
Phone
(318) 247-6265

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-22

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 Louisiana