Organization
SUNRISE OXYGEN & HOME MEDICAL PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY WICKWARE (PRESIDENT OWNER)
(706) 840-1074
Entity
Organization
Contact information
Practice address
3452 PEACH ORCHARD RD, STE D, AUGUSTA, GA 30906-5939
(706) 793-7001
(706) 793-7040
Mailing address
PO BOX 5180, AUGUSTA, GA 30916-5180
(706) 793-7001
(706) 793-7040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1148
—
SC
Enumeration date
04/28/2006
Last updated
08/22/2020
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