Individual
BRANT TODD HENIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 446-1255
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036176095
IL
208600000X
Surgery Physician
9800899
NC
2086X0206X
Surgical Oncology Physician
9800899
NC
Other
Enumeration date
07/11/2006
Last updated
05/08/2026
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