Healthcare Provider Details

I. General information

NPI: 1295731719
Provider Name (Legal Business Name): LEONARD M ZAPROWSKI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 08/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4075 OLD MILTON PKWY STE 4
ALPHARETTA GA
30005-4405
US

IV. Provider business mailing address

4075 OLD MILTON PKWY STE 4
ALPHARETTA GA
30005-4405
US

V. Phone/Fax

Practice location:
  • Phone: 770-772-0335
  • Fax: 770-772-6773
Mailing address:
  • Phone: 770-772-0335
  • Fax: 770-772-6773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5753
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: