Organization
FAIRBURN MEDICAL PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERIE B FAIRBURN (MANAGING MEMBER)
(205) 356-4639
Entity
Organization
Contact information
Practice address
9323 MAMMOTH AVE, BATON ROUGE, LA 70814-2632
(855) 721-7233
(855) 721-7234
Mailing address
5681 AL HIGHWAY 69 S, CULLMAN, AL 35057-4225
(855) 721-7233
(855) 721-7234
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011895773
FDA REGISTRATION
—
01
—
DME001035
LOUISIANA BOARD OF PHARMACY REGISTRATION
LA
Enumeration date
08/30/2019
Last updated
12/30/2025
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