Kingdom Healthcare Services, LLC

NPI #1750913349 in Hiram, Georgia

Provider Information

NPI Number
1750913349
Entity Type
Organization
Organization Name
Kingdom Healthcare Services, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 11, 2020
Last Updated
Oct 22, 2023

Practice Location

Address
4095 ATLANTA HWY
City
Hiram
State
Georgia
ZIP Code
30141-1854
Phone
(404) 488-9521

Authorized Official

Name
LUCILLE M TRAVIS, NP
Title
CEO
Phone
(678) 978-4947

Specialties & Taxonomy Codes

Specialty
Nursing Care
Clinic/Center - Primary CarePrimary Care

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