Organization
LDB MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. L. DERRYL BREAZEALE (PRESIDENT)
(770) 446-2554
Entity
Organization
Contact information
Practice address
2909 LANGFORD RD, STE B500, NORCROSS, GA 30071-1590
(770) 446-2554
Mailing address
2909 LANGFORD RD, STE B500, NORCROSS, GA 30071-1590
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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