Contract Details
Facility name
Sunrise Medical Solutions
Provider ID
P000007960
Tax ID
453704253
Effective Date
7/11/2014
Last Updated
7/23/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1075 Cooper Road Suite 100
Grayson, GA 30017
United States
County
Gwinnett
Phone
7706767337 (Phone)
Billing Details
Address
P.O. Box 425
Grayson, GA 30017
Billing Phone
7706767337
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address