Nathan John Averill, MD Valid NPI

Individual provider · Family Medicine Physician · Moncks Corner, SC

NPI

1891824355

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

28895 (SC)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-02

Last updated

2021-07-06