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Organization
ELITE WOUND CARE AND MEDICAL SUPPLIES
Active
Organization
ELITE WOUND CARE AND MEDICAL SUPPLIES
Active
Other names
Demand Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNA ANN HICKS (PRESIDENT)
(706) 595-2200
Entity
Organization
Contact information
Practice address
2498 WASHINGTON RD STE B, THOMSON, GA 30824-6600
(706) 595-2200
(706) 597-8703
Mailing address
2498 WASHINGTON RD STE B, THOMSON, GA 30824-6600
(706) 595-2200
(706) 597-8703
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003206721A
—
GA
Enumeration date
10/26/2017
Last updated
04/20/2021
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