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Contact Information

TAMMI L CANTRELL
966 BROCK RD
FORT VALLEY, GA31030-5232
 Phone: 478-697-0899
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TAMMI L CANTRELL · (Female)

NPI Number 1629962238
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2025
Last updated 06/06/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN172049
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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