Individual ProviderWendy ParrishFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address886 Hampton Rd, Mcdonough, GA 30253-6514(678) 583-8388PECOS EnrollmentBased on the most recent information from CMS, provider Wendy Parrish is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:02 PM.Profile DetailsProvider ID1376606327Provider TypeIndividualFull NameParrish, WendyCredentialN.P.GenderFemaleSole ProprietorNoEnumeration Date12/19/2006Last Updated9/19/2013Contact InformationPractice LocationPractice Address886 Hampton Rd, Mcdonough, GA 30253-6514Phone(678) 583-8388Fax(678) 583-8389Mailing LocationMailing Address886 Hampton Rd, Mcdonough, GA 30253-6514Phone(678) 583-8388Fax(678) 583-8389Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseR113642GeorgiaProvider IdentifiersIDDescriptionIssuerID902870809ADescriptionMedicaidIssuerUnlistedGeorgia