Organization
KINGDOMCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK LEWIS (PRESIDENT)
(229) 225-3513
Entity
Organization
Contact information
Practice address
19459 US HIGHWAY 19 N, THOMASVILLE, GA 31792-9074
(229) 225-3513
(866) 750-3051
Mailing address
19459 US HIGHWAY 19 N, THOMASVILLE, GA 31792-9074
(229) 225-3513
(866) 750-3051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
02/24/2012
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