Provider Demographics
NPI:1891040622
Name:HOME MEDICAL PROFESSIONALS
Entity Type:Organization
Organization Name:HOME MEDICAL PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKHILL
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:706-286-7047
Mailing Address - Street 1:1655 OAKBROOK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507-8492
Mailing Address - Country:US
Mailing Address - Phone:770-533-9404
Mailing Address - Fax:770-533-9029
Practice Address - Street 1:1240 HIGHWAY 54 W
Practice Address - Street 2:SUITE 303
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4557
Practice Address - Country:US
Practice Address - Phone:678-817-5555
Practice Address - Fax:678-817-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies