Individual
CARLEY BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
974 VANDORA SPRINGS RD, GARNER, NC 27529-3544
(919) 779-6540
Mailing address
974 VANDORA SPRINGS RD, GARNER, NC 27529-3544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2980
NC
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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