Individual
MARTY DAVID AVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 SHERATON BLVD STE 200, MACON, GA 31210-1359
(478) 258-7226
Mailing address
90 HEAD RD, JULIETTE, GA 31046-3445
(478) 258-7226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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