Individual
LEONARD JOHN BRANCEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, NMD
Contact information
Practice address
1200 HIGHWAY 745, SUITE 3, PEACHTREE CITY, GA 30269
(678) 228-8900
Mailing address
1200 HIGHWAY 745, SUITE 3, PEACHTREE CITY, GA 30269
(678) 228-8900
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
RP028734L
PA
Other
Enumeration date
05/06/2013
Last updated
11/28/2016
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