Individual
KINGSLEY IGBINOSUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 CHASE RIDGE LN, LAWRENCEVILLE, GA 30043-4369
(404) 431-6829
Mailing address
1655 CHASE RIDGE LN, LAWRENCEVILLE, GA 30043-4369
(404) 431-6829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
12/22/2012
Last updated
12/22/2012
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