RANDALL JAY BRANTLEY

GREENVILLE, SC
NPI1235221730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  0168)
Enumeration Date2006-09-29
Last Update Date2017-11-03
Business Address
RANDALL JAY BRANTLEY CRNA
701 GROVE RD GMH 2ND FLOOR ANESTHESIA DEPT
GREENVILLE, SC 29605-5611
Phone number: 864-455-7111
Mailing Address
RANDALL JAY BRANTLEY CRNA
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone number:
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