Individual
DEVONTE BERNARD AVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 FOUNTAIN CT APT 2206, COLUMBUS, GA 31904-1632
(706) 593-8758
Mailing address
1700 FOUNTAIN CT APT 2206, COLUMBUS, GA 31904-1632
(706) 593-8758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/03/2021
Last updated
01/19/2021
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