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1497308993
JOHNATHAN GRANT WILLIAMS
CARROLLTON, GA
NPI
1497308993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 2325)
Enumeration Date
2019-07-23
Last Update Date
2023-11-27
Business Address
JOHNATHAN GRANT WILLIAMS ATC
1601 MAPLE ST
CARROLLTON, GA 30118-0001
Phone number: 678-839-5000
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Mailing Address
JOHNATHAN GRANT WILLIAMS ATC
151 HOLLY ST
WINFIELD, AL 35594-3821
Phone number: 205-495-9964
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