Individual provider · NPI-1

Booker Brown Jr., ATC

Specialist/Technologist, Athletic Trainer · Birmingham, AL

NPI number1366723736
StatusActive
Last updated in NPPESAug 30, 2011

Details

NPI
1366723736
Entity type
Individual (NPI-1)
Name
Booker Brown Jr.
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Aug 30, 2011
Last updated
Aug 30, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer922ALYes

Practice location

805 Saint Vincents Dr
Suite G100
Birmingham, AL 35205-1636

Phone 205-939-1557 · Fax 205-939-1536

Mailing address

805 Saint Vincents Dr
Suite G100
Birmingham, AL 35205-1636

Phone 205-939-1557 · Fax 205-939-1536

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