Individual
BRANDON A FLEETWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5305 SWEETSPRINGS LN SW, POWDER SPRINGS, GA 30127-8401
(470) 244-2892
Mailing address
5305 SWEETSPRINGS LN SW, POWDER SPRINGS, GA 30127-8401
(470) 244-2892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011929
GA
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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