Shelby K Brantley in Flowood - Plastic Surgery Within The Head And Neck

Shelby K Brantley - NPI 1679503023

Shelby K Brantley is a Plastic Surgery Within The Head And Neck in Flowood, Mississippi. Shelby K Brantley practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Shelby K Brantley is 1679503023. The last update date is 2007-07-08.

Shelby K Brantley's current location address is 2550 Flowood Dr, Flowood, Mississippi. You can contact this provider via phone number 6019399999 and fax number 6019390590. The mailing address for Shelby K Brantley is 2550 Flowood Dr, Flowood, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelby K Brantley
Address 2550 Flowood Dr, Flowood, Mississippi
Phone Number 6019399999
Fax Number 6019390590
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1679503023
Provider Enumeration Date 2006-07-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2550 Flowood Dr
City Flowood
State Mississippi (MS)
Post Code 392329303
Phone Number 6019399999
Fax Number 6019390590

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head And Neck
Taxonomy 2082S0099X
Licence No 11700
Definition:
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
114322 MS --

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FAQs about Shelby K Brantley

What is the unique identifier code issued to Shelby K Brantley by the Centers for Medicare & Medicaid Services?

The Shelby K Brantley has been assigned the NPI (National Provider Identifier) 1679503023. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Shelby K Brantley?

The Shelby K Brantley is situated at 2550 Flowood Dr, in the city of Flowood, state of MS, with the zip code 392329303.

What is Shelby K Brantley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shelby K Brantley is Plastic Surgery Within The Head And Neck, and the corresponding taxonomy classification code for this specialized field is 2082S0099X.

When was the Shelby K Brantley's 1679503023 issued?

The Shelby K Brantley's 1679503023 was issued on 2006-07-03.

When was the information pertaining to Shelby K Brantley most recently updated or revised?

The details related to Shelby K Brantley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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