Individual
MR. BRANTLEY AUSTIN TART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP-PC
Contact information
Practice address
715 MEDICAL CENTER DR, WILMINGTON, NC 28401-7574
(910) 763-2476
Mailing address
715 MEDICAL CENTER DR, WILMINGTON, NC 28401-7574
(910) 763-2476
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5015665
NC
Other
Enumeration date
01/25/2022
Last updated
11/20/2025
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