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Individual

BRANDON TEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-8699
(910) 724-9186
Mailing address
200 FERGUSON WAY, VASS, NC 28394-9423
(910) 724-9186

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2028
NC
2255A2300X
Athletic Trainer
AT003073
GA

Other

Enumeration date
07/11/2012
Last updated
04/08/2026
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