Brantley, Abigail Leigh

Brantley, Abigail Leigh is an sole proprietor health care provider with primary practice located at 706 Turtle Creek Dr , Tyler TX 75701-1833. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Brantley, Abigail Leigh can be contacted via phone (903) 595-3942.

Contact Information

Primary practice address
706 Turtle Creek Dr Tyler TX 75701-1833
Phone: (903) 595-3942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1407527484
LBN Legal business name Brantley, Abigail Leigh
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2021
Last updated Sep 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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