Healthcare Provider Details

I. General information

NPI: 1821063397
Provider Name (Legal Business Name): PARRIS MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 06/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2714 E FIRST ST SUITE 2
BLUE RIDGE GA
30513-4510
US

IV. Provider business mailing address

PO BOX 2230
BLUE RIDGE GA
30513-0039
US

V. Phone/Fax

Practice location:
  • Phone: 706-632-5222
  • Fax: 706-632-6941
Mailing address:
  • Phone: 706-632-5222
  • Fax: 706-632-6941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPHRE008154
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number302061143
License Number StateGA

VIII. Authorized Official

Name: SHERI D MILLS
Title or Position: ACCOUNTS MANAGER
Credential:
Phone: 706-632-5222