Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
CANTRELL LAKE INPATIENT SERVICES LLC
Active
Organization
CANTRELL LAKE INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
200 ALLEN MEMORIAL DR, BREMEN, GA 30110-2012
(973) 251-1132
Mailing address
13737 NOEL RD, 1600, DALLAS, TX 75240-1331
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/01/2017
Last updated
03/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up