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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