Individual provider · Type 1 NPI
Charles B. Brentnall Jr., MD, P.A.
Allergy Physician · Sylacauga, AL
NPI number
1497751036
Active
Practice location
7 Brown Ave
Sylacauga, AL 35150-2421
Fax (256) 249-8508
Mailing address
PO Box 2190
Sylacauga, AL 35150-5190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | 00007246 (AL) |
| Dermatology Physician | 207N00000X | 00007246 (AL) |
| Pediatric Dermatology Physician | 207NP0225X | 00007246 (AL) |
| Otolaryngology Physician | 207Y00000X | 00007246 (AL) |
| Surgery Physician | 208600000X | 00007246 (AL) |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 00007246 (AL) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
2 other providers at this address
About NPI 1497751036
Charles B. Brentnall Jr., MD, P.A.'s National Provider Identifier is 1497751036, issued on Jun 27, 2005. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Sylacauga, AL. The record was last updated on Apr 4, 2008.