Organization
KIDMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HUIZAR (OWNER)
(770) 589-1911
Entity
Organization
Contact information
Practice address
1715 FRIENDSHIP CIR STE 400, CUMMING, GA 30028-6921
(404) 551-9826
(770) 589-1910
Mailing address
6425 VALLEY CROSSING WAY, CUMMING, GA 30028-2273
(404) 551-9826
(770) 589-1910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/02/2023
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