Individual
BRENT MICHAEL LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1611
(678) 206-7672
Mailing address
5906 STUART DR, FLOWERY BRANCH, GA 30542-2721
(678) 206-7672
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
32698342
GA
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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