Brookstone Medical LLC
Durable Medical Equipment & Medical Supplies in Leesburg, GA. Organization (NPI-2).
NPI number1023429511
StatusActive
Last updated in NPPESOct 26, 2022
Details
- NPI
- 1023429511
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookstone Medical LLC
- Organization subpart
- No
- Enumeration date
- May 19, 2014
- Certification date
- Oct 26, 2022
- Last updated
- Oct 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Brookstone Medical (Doing Business As)
Practice location
117 Hugh RdLeesburg, GA 31763-5202
Phone 229-886-4730
Mailing address
117 Hugh RdLeesburg, GA 31763-5202
Authorized official
Matthew R Corley
Owner/Ceo
2294966963
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