Individual
BEAU BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
640 SUMMIT CROSSING PL STE 208, GASTONIA, NC 28054-2142
(704) 671-5750
Mailing address
9604 VINCA CIR APT A, CHARLOTTE, NC 28213-0002
(910) 265-4563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2553
NC
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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