Individual
JORDAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1225 BROADRICK DR, DALTON, GA 30720-2504
(215) 668-5264
Mailing address
1225 BROADRICK DR, DALTON, GA 30720-2504
(215) 668-5264
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004278
GA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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