Organization
KINGDOMWAY MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL L SEAY (CEO/PRESIDENT)
(770) 742-0436
Entity
Organization
Contact information
Practice address
101 TIVOLI GARDENS RD STE C, PEACHTREE CITY, GA 30269-1528
(770) 742-0436
(770) 742-0356
Mailing address
PO BOX 3051, PEACHTREE CITY, GA 30269-7051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
03/11/2019
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