Organization
GEORGIA CPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L PARKER SR. COF (PRESIDENT)
(770) 414-4260
Entity
Organization
Contact information
Practice address
1479 BROCKETT RD, SUITE 101, TUCKER, GA 30084-7326
(770) 414-4260
(770) 414-4257
Mailing address
PO BOX 2650, MCDONOUGH, GA 30253-1739
(770) 414-4260
(770) 414-4257
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
03/26/2007
Last updated
07/24/2008
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