| Kingdom Cardiovascular Care And Wellness Center, Llc | |
|
6853 Douglas Blvd Ste C Douglasville GA 30135-7179 | |
| (336) 338-2019 | |
| Not Available |
| Full Name | Kingdom Cardiovascular Care And Wellness Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6853 Douglas Blvd Ste C, Douglasville, Georgia |
| Authorized Official Name and Position | Kathryn Amanda Mcfarland (OWNER) |
| Authorized Official Contact | 3363382019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Cardiovascular Care And Wellness Center, Llc 3400 Chapel Hill Rd Ste 328 Douglasville GA 30135-1739 Ph: (678) 785-5001 | Kingdom Cardiovascular Care And Wellness Center, Llc 6853 Douglas Blvd Ste C Douglasville GA 30135-7179 Ph: (336) 338-2019 |
| NPI Number | 1396491254 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 5890164511 |
|---|---|
| Medicare Enrollment ID | O20221219002347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396491254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kathryn A Mcfarland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134188493 PECOS PAC ID: 6800865163 Enrollment ID: I20140725001958 |
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