NPI 1144481516
Kingdom Medical Supply LLC
Practice location
- Address
- 1020 Park Drive Suite B, Greensboro, GA 30642
- Phone
- (706) 453-1123
- Fax
- (706) 453-1124
- Mailing address
- 1020 Park Drive Suite B, Greensboro, GA 30647
Authorised official
- Name
- Teresa Dianne Lawrence
- Title
- Ceo
- Phone
- (706) 453-1123
Registered specialties (2)
Durable Medical Equipment & Medical Supplies
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1144481516
- Entity type
- Organization
- NPI issued
- 18 Jun 2008
- Record last updated
- 31 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.