Individual
KRISTOPHER MARK HOTAI JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
BEMISS RD, MOODY AFB, GA 31699-0001
(276) 608-6497
Mailing address
BEMISS RD, MOODY AFB, GA 31699-0947
(276) 276-6086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003899
GA
Other
Enumeration date
11/10/2016
Last updated
07/22/2021
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