Individual
DR. J HAYS BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5182 SANDERLIN AVE, SUITE 3, MEMPHIS, TN 38117-4354
(901) 685-0152
(901) 685-9982
Mailing address
PO BOX 1000 DEPT 362, MEMPHIS, TN 38148-0362
(901) 373-9704
(901) 255-5223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13648
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110233296
RAILROAD MEDICARE
TN
05
—
117851001
—
AR
01
—
4030767
BCBS
TN
01
—
92825
BCBS
AR
Enumeration date
08/02/2005
Last updated
11/30/2011
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