Individual
MR. WILLIAM JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
120 WILLIAM PENN PLAZA, DURHAM, NC 27704
(919) 810-5099
Mailing address
120 WILLIAM PENN PLAZA, DURHAM, NC 27704
(919) 810-5099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1153
NC
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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