AVRA LENORE SOUVAL


Address: 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404
Phone: 7704999918

AVRA LENORE SOUVAL (NPI# 1295762557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295762557
Entity Type Individual
Full Name AVRA LENORE SOUVAL
Credential P.T.
Practice Address 300 Tower Rd Ne
Suite 100
Marietta
GA 30060-9404
Mailing Address 2252 Carefree Cir
Marietta
GA 30062-1973
Practice Telephone 7704999918
Practice Fax Number 7707928276
Mailing Telephone 7704999918
Mailing Fax Number 7707928276
Enumeration Date 2006-06-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
PT000249 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA BCBS AUSTELL LOCATION 52244414005 01
GA BCBS DOUGLASVILLE LOCATIO 52244414006 01
GA BCBS MARIETTA LOCATION 52244414002 01
GA BCBS WOODSTOCK LOCATION 52244414004 01

Office Location

Street Address 300 TOWER RD NE
SUITE 100
City MARIETTA
State GA
Zip Code 30060-9404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578566527 Stanley H Dysart Orthopaedic Surgery 300 Tower Rd Ne, Ste 200, Marietta, GA 30060-9403 2005-05-23
1023559135 Adam Colon Specialist/Technologist 300 Tower Rd Ne, 200, Marietta, GA 30060-9404 2017-03-09
1003367707 Pinnacle Orthopaedics & Sports Medicine Specialists LLC Specialist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2016-10-18
1023565199 Derek Austin Dubois Nurse Practitioner 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 2016-09-07
1861841264 Kadesha Massaud Nurse Practitioner 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 2016-06-07
1164888582 Julianna Hartzel Physical Therapist 300 Tower Rd Ne, Suite100, Marietta, GA 30060-9404 2016-01-14
1730577172 Pinnacle Orthopaedics Specialist 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 2015-01-08
1902213853 Jeremy Daniel Melton Physician Assistant 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 2014-07-11
1235540659 Aaron T. Richardson Physical Therapist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2014-05-20
1629395140 Michelle Ann Ray Physician Assistant 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 2010-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235515784 Theodore Phillip Ziaylek Jr. Physical Therapist 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 2015-08-07
1073656526 Nikki Lynn Coyne Physical Therapist 1015 Laurel Valley Dr Sw, Marietta, GA 30064-3973 2007-02-15
1235449612 Sidney Lamb Cambardella Physical Therapist 1000 Johnson Ferry Rd, Suite A-12, Marietta, GA 30068-2114 2010-10-19
1790096097 Jessica Neff Grussemeyer Physical Therapist 670 North Ave Nw, Suite 201, Marietta, GA 30060-1100 2010-07-01
1467780346 Ann Marie Lowers Physical Therapist 401 Matthew St, Suite 210, Marietta, OH 45750-1635 2009-12-03
1366609133 Kimberly B Lassiter Physical Therapist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2008-05-20
1194925669 Jeremy H Campbell Physical Therapist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2007-07-23
1790714434 Lauren Elise Connolly Physical Therapist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2006-07-03
1467416107 Alison B. Munroe Physical Therapist 2550 Windy Hill Rd Se, Suite 317, Marietta, GA 30067-8665 2006-04-12
1396712949 Tara B. Henderson Physical Therapist 61 Whitcher St Ne, Suite 1150, Marietta, GA 30060-1176 2006-03-02
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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