Individual
LEAH MARIE BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3488 HEATHERWOOD CT, DOUGLASVILLE, GA 30135-1954
(469) 412-6605
Mailing address
3488 HEATHERWOOD CT, DOUGLASVILLE, GA 30135-1954
(469) 412-6605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN266519
GA
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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