MARTY DAVID AVERA

MACON, GA
NPI1386207793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2019-04-22
Last Update Date2019-04-22
Business Address
MARTY DAVID AVERA
275 SHERATON BLVD STE 200
MACON, GA 31210-1359
Phone number: 478-258-7226
Mailing Address
MARTY DAVID AVERA
90 HEAD RD
JULIETTE, GA 31046-3445
Phone number: 478-258-7226