Kingdom C & M Devices Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KINGDOM C & M DEVICES INC.

Practice address

994 Milledgeville Rd Ste a
Eatonton, GA 31024-7481

Phone

(762) 220-3460

Fax

(762) 220-3464

NPI assigned

Nov 12, 2019

Last updated

Mar 17, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teresa Dianne Lawrence

Title

Owner

Phone

(762) 220-3460

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1477198604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 LAKE OCONEE PKWY STE 110",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306426490",
            "telephone_number": "762-220-3460",
            "fax_number": "762-220-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 MILLEDGEVILLE RD STE A",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310247481",
            "telephone_number": "762-220-3460",
            "fax_number": "762-220-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM C & M DEVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "762-220-3460"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Eatonton, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.