Individual
BRANDON E LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCP
Contact information
Practice address
203 ASPEN CIR, DOTHAN, AL 36303-2832
(334) 405-4783
Mailing address
203 ASPEN CIR, DOTHAN, AL 36303-2832
(334) 405-4783
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
550
AL
Other
Enumeration date
08/16/2013
Last updated
08/20/2013
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