Organization
LIBERTY MEDICAL DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALANDA LEE SHELTON (OWNER)
(678) 531-5604
Entity
Organization
Contact information
Practice address
2302 PARKLAKE DR NE STE 670, ATLANTA, GA 30345-2896
(678) 531-5604
Mailing address
2302 PARKLAKE DR NE STE 670, ATLANTA, GA 30345-2896
(678) 531-5604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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