Organization
KINGDOM MEDICAL SUPPLY LLC
Active
Organization
KINGDOM MEDICAL SUPPLY LLC
Active
Other names
KINGDOM MEDICAL SUPPLY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA DIANNE LAWRENCE (CEO)
(706) 453-1123
Entity
Organization
Contact information
Practice address
1020 PARK DRIVE, SUITE B, GREENSBORO, GA 30642
(706) 453-1123
(706) 453-1124
Mailing address
1020 PARK DRIVE, SUITE B, GREENSBORO, GA 30647
(706) 453-1123
(706) 453-1124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
12/31/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up