Whalio Doctors

NPI 1275522567

Jim N Brantner, MD

Practitioner Plastic Surgery Physician Johnson City, TN

Practice location

Address
1303 Sunset Dr Suite 5, Johnson City, TN 37604-7905
Phone
(423) 328-9000
Fax
(423) 328-9007
Mailing address
1303 Sunset Dr STE 5, Johnson City, TN 37604-7905

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD25117 (TN)

Registry record

NPI
1275522567
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Oct 2005
Record last updated
13 Nov 2019

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.