Individual
JUSTIN CANTRELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
764 MAGNOLIA POINT CIR, PEARL, MS 39208-1207
(985) 789-3504
Mailing address
764 MAGNOLIA POINT CIRCLE, PEARL, MS 39208
(985) 789-3504
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
T-5854
MS
Other
Enumeration date
02/06/2024
Last updated
01/09/2026
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