Healthcare Provider Details

I. General information

NPI: 1689728644
Provider Name (Legal Business Name): HOME MEDICAL PROFESSIONALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 01/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 CLEVELAND RD SUITE D
BOGART GA
30622-6821
US

IV. Provider business mailing address

1655 OAKBROOK DR SUITE B
GAINESVILLE GA
30507-8492
US

V. Phone/Fax

Practice location:
  • Phone: 706-433-0715
  • Fax:
Mailing address:
  • Phone: 770-533-9404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC PARKHILL
Title or Position: VP
Credential: RRT
Phone: 770-533-9404