Daughters Of The King Ministries Inc. | |
311 S Lee St Apt C Americus GA 31709-3971 | |
(229) 347-2480 | |
Not Available |
Full Name | Daughters Of The King Ministries Inc. |
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Speciality | Psychologist - Clinical Child & Adolescent |
Location | 311 S Lee St, Americus, Georgia |
Authorized Official Name and Position | Tonya Fulmore Favors (PRESIDENT) |
Authorized Official Contact | 2293472480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Daughters Of The King Ministries Inc. 323 Hosanna Cir Americus GA 31719-8277 Ph: (229) 347-2480 | Daughters Of The King Ministries Inc. 311 S Lee St Apt C Americus GA 31709-3971 Ph: (229) 347-2480 |
NPI Number | 1043631625 |
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Provider Enumeration Date | 12/26/2013 |
Last Update Date | 12/26/2013 |
Identifier | Type | State | Issuer |
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1043631625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 13471797 (Georgia) | Primary |
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