Individual
SAMUEL JOHNSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
220 CHAMPIONS DRIVE, HARRISONBURG, VA 22807-2478
(540) 568-2550
Mailing address
183 EMERALD DR, HARRISONBURG, VA 22801-3441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002906
VA
Other
Enumeration date
08/26/2014
Last updated
02/12/2020
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