KING 1959 INC. NPI 1780174821

NPI Information

  • NPI: 1780174821
  • Provider Name: KING 1959, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: DIABETIC RELIEF
  • Address: 2055 GEES MILL RD NE STE 313
    CONYERS, GA
    ZIP 30013
  • Phone: (770) 689-9788

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NPI Details

KING 1959, INC. is a durable medical equipment medical supplies in Conyers, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. KING 1959, INC. NPI is 1780174821. The provider is registered as an organization entity type.
The provider Is Doing Business As Diabetic Relief.

The provider's business location address is:

2055 GEES MILL RD NE STE 313
CONYERS, GA
ZIP 30013-363
Phone: (770) 689-9788

The provider's authorized official is Mark Shannon Thomas .
The authorized official title is Ceo and has the following contact phone number (770) 689-9788.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 5/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

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This page was last updated on: 11/21/2025

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