Organization
KINGDOM WELLNESS SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CARLIE (CEO)
(804) 300-6723
Entity
Organization
Contact information
Practice address
2610 MILLEDGEVILLE RD, AUGUSTA, GA 30904-5110
(804) 300-6723
Mailing address
357 HIGH MEADOWS PL, GROVETOWN, GA 30813-8117
(804) 300-6723
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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