Individual
MARCOS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1880 BEAVER RIDGE CIR, SUITE D, NORCROSS, GA 30071-3833
(404) 320-6018
Mailing address
5020 EMERALD ISLE CT, COLUMBUS, GA 31909-4841
(706) 570-0316
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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