King 1959, Inc.

NPI #1780174821 in Conyers, Georgia

Provider Information

NPI Number
1780174821
Entity Type
Organization
Organization Name
King 1959, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 15, 2018
Last Updated
May 15, 2018

Practice Location

Address
2055 GEES MILL RD NE STE 313
State
Georgia
ZIP Code
30013-1363
Phone
(770) 689-9788

Authorized Official

Name
MR. MARK SHANNON THOMAS
Title
CEO
Phone
(770) 689-9788

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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