Whalio Doctors

NPI 1164675427

Damon Brantley MD PC

Organisation Specialist Huntsville, AL

Practice location

Address
4810 Whitesport Cir SW Suite 200, Huntsville, AL 35801-7419
Phone
(931) 358-4833
Fax
(931) 358-3460
Mailing address
237 Gray Hawk Trl, Clarksville, TN 37043-6286

Authorised official

Name
Damon W Brantley
Title
Owner
Phone
(931) 358-4833

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 22207 (AL)

Registry record

NPI
1164675427
Entity type
Organization
NPI issued
30 Oct 2008
Record last updated
30 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.