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1386207793
MARTY DAVID AVERA
MACON, GA
NPI
1386207793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
MARTY DAVID AVERA
275 SHERATON BLVD STE 200
MACON, GA 31210-1359
Phone number: 478-258-7226
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Mailing Address
MARTY DAVID AVERA
90 HEAD RD
JULIETTE, GA 31046-3445
Phone number: 478-258-7226
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