Organization
DAMON BRANTLEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON W BRANTLEY MD (OWNER)
(931) 358-4833
Entity
Organization
Contact information
Practice address
4810 WHITESPORT CIR SW, SUITE 200, HUNTSVILLE, AL 35801-7419
(931) 358-4833
(931) 358-3460
Mailing address
237 GRAY HAWK TRL, CLARKSVILLE, TN 37043-6286
(931) 358-4833
(931) 358-3460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22207
AL
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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