Individual
DR. DAMON W. BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2040 DAN PROCTOR DRIVE, SUITE 240, ST. MARYS, GA 31558-3801
(912) 576-6340
(912) 576-6341
Mailing address
2040 DAN PROCTOR DRIVE, SUITE 240, ST. MARYS, GA 31558-3801
(912) 576-6340
(912) 576-6341
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
064337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003101326B
—
GA
Enumeration date
04/04/2006
Last updated
12/17/2025
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