Damon W. Brantley in St. Marys - Surgery

Damon W. Brantley - NPI 1902868011

Damon W. Brantley is a Surgery in St. Marys, Georgia. Damon W. Brantley practices all healthcare services and medical treatments related to Surgery. The NPI Number for Damon W. Brantley is 1902868011. The last update date is 2023-09-18.

Damon W. Brantley's current location address is 2040 Dan Proctor Drive, St. Marys, Georgia. You can contact this provider via phone number 9125766340 and fax number 9125766341. The mailing address for Damon W. Brantley is 2040 Dan Proctor Drive, St. Marys, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Damon W. Brantley
Address 2040 Dan Proctor Drive, St. Marys, Georgia
Phone Number 9125766340
Fax Number 9125766341
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1902868011
Provider Enumeration Date 2006-04-04
Last Updated Date 2023-09-18

Provider Mailing Address Detail

Address 2040 Dan Proctor Drive
City St. Marys
State Georgia (GA)
Post Code 315583801
Phone Number 9125766340
Fax Number 9125766341

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 64337
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
003101326B GA --

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FAQs about Damon W. Brantley

What is the Damon W. Brantley's 1902868011?

The Damon W. Brantley's NPI (National Provider Identifier) Number is 1902868011. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Damon W. Brantley's facilities are geographically located?

The facilities of Damon W. Brantley are physically situated at the following location: 2040 Dan Proctor Drive, St. Marys, GA, 315583801.

What is Damon W. Brantley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Damon W. Brantley is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date did the Damon W. Brantley receive its 1902868011 assignment from the Centers for Medicare & Medicaid Services?

The Damon W. Brantley was assigned its 1902868011 by the Centers for Medicare & Medicaid Services on 2006-04-04.

When was the information regarding Damon W. Brantley most recently updated?

The details pertaining to the Damon W. Brantley, including its address, specialty, and other relevant information, were last refreshed on 2023-09-18.

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