Most Relevant Information
Provider Data
| NPI Number: | 1003587080 |
| Provider Name: | BRANDI JOHNSON NIX ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 1293 |
Most Important Dates
| Enumeration Date: | 09/21/2021 |
| Last Updated: | 09/21/2021 |
Provider Practice Location
901 S MULBERRY AVE
BUTLER
AL
369042811
Practice Location Phone/Fax
| Phone: | 2054573605 |
| Fax: |
Provider Mailing Location
310 THORNTON AVE
BUTLER
AL
369042337
Provider Mailing Phone/Fax
| Phone: | 2054571239 |
| Fax: |