Brandon Johnson, ATC
NPI #1508455841 in Columbus, Mississippi
Provider Information
- NPI Number
- 1508455841
- Entity Type
- Individual
- Name
- Brandon Johnson, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 12, 2021
- Last Updated
- Apr 6, 2021
Practice Location
- Address
- 2429 5TH ST N
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-2005
- Phone
- (662) 328-4542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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