Organization
KINGDOM C & M DEVICES INC.
Active
Organization
KINGDOM C & M DEVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA DIANNE LAWRENCE (OWNER)
(762) 220-3460
Entity
Organization
Contact information
Practice address
994 MILLEDGEVILLE RD STE A, EATONTON, GA 31024-7481
(762) 220-3460
(762) 220-3464
Mailing address
6350 LAKE OCONEE PKWY STE 110, GREENSBORO, GA 30642-6490
(762) 220-3460
(762) 220-3464
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
03/17/2020
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