Daniel Max & Marc Andrea LLC
NPI #1053964908 in Statesboro, Georgia
Provider Information
- NPI Number
- 1053964908
- Entity Type
- Organization
- Organization Name
- Daniel Max & Marc Andrea LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jul 19, 2019
- Last Updated
- Feb 17, 2021
Practice Location
- Address
- 113 NORTHSIDE DR E
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-2185
- Phone
- (561) 275-2020
Authorized Official
- Name
- JACKIE BENNETT
- Title
- CREDENTIALING MANAGER
- Phone
- (561) 612-4531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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