Individual
MR. BRANDON MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5359 FARMVILLE RD, FARMVILLE, VA 23901-5938
(434) 223-6237
(434) 223-6348
Mailing address
5359 FARMVILLE RD, FARMVILLE, VA 23901-5938
(434) 223-6237
(434) 223-6348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000881
VA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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