Individual
MONTAGUE D BRANTLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 E PALMETTO ST, FLORENCE, SC 29506-2851
(843) 664-3608
(843) 667-4133
Mailing address
600 E PALMETTO ST, FLORENCE, SC 29506-2851
(843) 664-3608
(843) 667-4133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7741
SC
Other
Enumeration date
12/03/2013
Last updated
05/05/2016
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