Individual
CHRISTOPHER SCOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
HUMPHREY COLISEUM-COLISEUM DRIVE, MISSISSIPPI STATE UNIVERSITY, MISSISSIPPI STATE, MS 39762
(662) 325-4108
Mailing address
1238C BLACKJACK RD, STARKVILLE, MS 39759-9475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0310
MS
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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