Individual
BRANDON SCOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
48380 US 52 N, MISENHEIMER, NC 28109
(704) 582-2138
Mailing address
PO BOX 960, MISENHEIMER, NC 28109-0960
(704) 463-3211
(704) 463-5051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1825
NC
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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