Randall Jay Brantley in Greenville - Nurse Anesthetist, Certified Registered

Randall Jay Brantley - NPI 1235221730

Randall Jay Brantley is a Nurse Anesthetist, Certified Registered in Greenville, South Carolina. Randall Jay Brantley practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Randall Jay Brantley is 1235221730. The last update date is 2017-11-03.

Randall Jay Brantley's current location address is 701 Grove Rd, Greenville, South Carolina. You can contact this provider via phone number 8644557111. The mailing address for Randall Jay Brantley is 701 Grove Rd, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall Jay Brantley
Address 701 Grove Rd, Greenville, South Carolina
Phone Number 8644557111
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1235221730
Provider Enumeration Date 2006-09-29
Last Updated Date 2017-11-03

Provider Mailing Address Detail

Address 701 Grove Rd
City Greenville
State South Carolina (SC)
Post Code 296055611
Phone Number 8644557111
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 168
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
430027455 SC MEDICARE RAILROAD
AN0181 SC --

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FAQs about Randall Jay Brantley

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

The Randall Jay Brantley has been assigned the NPI (National Provider Identifier) 1235221730. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Randall Jay Brantley is physically located?

The Randall Jay Brantley is situated at the following address: 701 Grove Rd, Greenville, SC 296055611.

What is the area of specialization for Randall Jay Brantley, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Randall Jay Brantley is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1235221730 to Randall Jay Brantley?

The Centers for Medicare & Medicaid Services originally issued the 1235221730 to Randall Jay Brantley on 2006-09-29.

As of what date were the details pertaining to Randall Jay Brantley last refreshed?

The information related to the Randall Jay Brantley, including its address, specialty, and other relevant details, was last updated on 2017-11-03.

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