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Active
Organization subpart
No

Provider details

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

Contact information

Practice address
125 W MAIN ST, CARTERSVILLE, GA 30120-3507
(678) 605-1840
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00738174D
GA
Enumeration date
08/10/2009
Last updated
12/03/2012
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