Beau Brown, ATC, LAT
Specialist/Technologist, Athletic Trainer in Gastonia, NC. Individual provider (NPI-1).
NPI number1982114872
StatusActive
Last updated in NPPESOct 4, 2017
Details
- NPI
- 1982114872
- Entity type
- Individual (NPI-1)
- Name
- Beau Brown
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2017
- Last updated
- Oct 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2553 | NC | Yes |
Practice location
640 Summit Crossing Pl Ste 208Gastonia, NC 28054-2142
Phone 704-671-5750
Mailing address
9604 Vinca Cir Apt ACharlotte, NC 28213-0002
Phone 910-265-4563
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All 26 Athletic Trainer providers in Gastonia · All 4,085 providers in Gastonia
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