Individual ProviderSerge B SopguiRegistered NurseNursing Service ProvidersPractice Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616(202) 723-3060PECOS EnrollmentBased on the most recent information from CMS, provider Serge B Sopgui does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1063042620Provider TypeIndividualFull NameSopgui, Serge BGenderMaleSole ProprietorYesEnumeration Date1/23/2020Last Updated1/23/2020Contact InformationPractice LocationPractice Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616Phone(202) 723-3060FaxUnlisted FaxMailing LocationMailing Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616Phone(202) 723-3060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN1050627District of Columbia