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1336138569
SCOTT CHARLES JOHNSON
FORT MILL, SC
NPI
1336138569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC 0852)
Enumeration Date
2005-10-20
Last Update Date
2007-07-08
Business Address
MR. SCOTT CHARLES JOHNSON ATC
2280 DEERFIELD DR
FORT MILL, SC 29715-6941
Phone number: 704-357-8071
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Mailing Address
MR. SCOTT CHARLES JOHNSON ATC
1501 MAJESTIC MEADOW DR
CHARLOTTE, NC 28216-9920
Phone number: 704-236-1904
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