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Contact Information

HEATHER CANTRELL, C.N.M.
190 HANDLEY RD
TYRONE, GA30290-2178
 Phone: 770-997-5714
 Fax: 770-997-2810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for HEATHER CANTRELL · (Female)

NPI Number 1255354114
Status Active
Credentials C.N.M.
Entity Individual
Enumeration date 07/25/2006
Last updated 11/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # RN144694
  • GA Medicaid 092104688A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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