Individual provider · Type 1 NPI

Avery Callaway

Surgical Physician Assistant · Greenville, SC

NPI number 1912696956 Active

Practice location

111 Doctors Dr
Greenville, SC 29605-5622

Fax (864) 797-7155

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Other practice locations

  • 158 Garrett Rd, Edgefield, SC 29824-2214 · (803) 257-1733

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400X5180 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1912696956

Avery Callaway's National Provider Identifier is 1912696956, issued on May 4, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Greenville, SC. The record was last updated on Apr 20, 2026.