Brantley, David Allen

Brantley, David Allen is an individual health care provider with primary practice located at 6060 Piedmont Row Dr S Fl 6 , Charlotte NC 28287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Brantley, David Allen can be contacted via phone (704) 489-3094.

Contact Information

Primary practice address
6060 Piedmont Row Dr S Fl 6 Charlotte NC 28287
Phone: (704) 489-3094
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 9800197 North Carolina

Profile Details

NPI number 1790706182
LBN Legal business name Brantley, David Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 23rd, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790706182 NPPES
South Carolina MEDICAID N0019A
South Carolina MEDICAID 1790706182
South Carolina MEDICAID 891211V
South Carolina Other 1211V

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