NPI
Brantley Blake Dunaway
NPI 1093557167
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- DMD
- Type
- Individual
- Enumeration date
- 2024-06-10
- Last updated
- 2024-06-10
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Specialties
Licenses
- License MS
- 4444-24
Location
- Practice location
- 102 W Freedom Dr
- City
- Liberty MS
- Postal code
- 39645-7295
- Phone
- (601) 657-4326
- Fax
- (601) 657-8867
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Liberty, MS. 52 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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