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Mr. Courtney Deshun Avery, LDO
Optician in Memphis, Tennessee
NPI 1144968611

Courtney Deshun Avery is a Optician based in Memphis, TN and is specialized in Optician. Courtney Deshun Avery practices in Memphis, TN and has the professional credentials of LDO. The NPI Number for Courtney Deshun Avery is 1144968611 and holds a License No. DPO0000002710 (Tennessee).

The current practice location address for Courtney Deshun Avery is 2760 N Germantown Pkwy Ste 204, Memphis, TN and can be reached out via phone at 901-930-5288.

Location: 2760 N Germantown Pkwy Ste 204, Memphis, TN, 38133-8155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144968611
Provider Name
Courtney Deshun Avery
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
2760 N Germantown Pkwy Ste 204, Memphis, TN, 38133-8155
Phone Number
901-930-5288
Fax Number
Provider Enumeration Date
05/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2760 N Germantown Pkwy Ste 204
City
Memphis
State
Tennessee
Zip
38133-8155
Phone Number
901-930-5288
Fax Number
person
Provider Business Mailing Address Details
Address
2760 N Germantown Pkwy Ste 204
City
Memphis
State
Tennessee
Zip
38133-8155
Phone Number
901-930-5288
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
DPO0000002710 (Tennessee)
Definition
Definition to come...
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