Brantley, Shelby K

Brantley, Shelby K is an individual health care provider with primary practice located at 2550 Flowood Dr Suite 200, Flowood MS 39232-9303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Brantley, Shelby K can be contacted via phone (601) 939-9999.

Contact Information

Primary practice address
2550 Flowood Dr Suite 200 Flowood MS 39232-9303
Phone: (601) 939-9999
Fax: (601) 939-0590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 11700 Mississippi
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 11700 Mississippi

Profile Details

NPI number 1679503023
LBN Legal business name Brantley, Shelby K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679503023 NPPES
Mississippi MEDICAID 00114322

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