BRAXTON DOUGLAS JAMES

JACKSON, MS
NPI1518459676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0717)
Enumeration Date2018-06-05
Last Update Date2018-06-16
Business Address
BRAXTON DOUGLAS JAMES ATC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
BRAXTON DOUGLAS JAMES ATC
401 WINTERFIELD WAY
BRANDON, MS 39042-6080
Phone number: 601-394-8164
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