Individual
MR. BRANDON WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ME.D., ATC/L, CSCS
Contact information
Practice address
16 TALON CT, KINGSTON, GA 30145-1868
(706) 455-5212
Mailing address
16 TALON CT, KINGSTON, GA 30145-1868
(706) 455-5212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001458
GA
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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