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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC PARKHILL (VICE-PRESIDENT)
(770) 533-9404
Entity
Organization

Contact information

Practice address
2344 CHAMBLEE TUCKER RD, CHAMBLEE, GA 30341-3447
(678) 547-0619
Mailing address
1655 OAKBROOK DR, SUITE B, GAINESVILLE, GA 30507-8492
(770) 533-9404

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00738174B
GA
Enumeration date
07/21/2005
Last updated
01/08/2015
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