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Individual

HEATHER CANTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M.

Contact information

Practice address
190 HANDLEY RD, TYRONE, GA 30290-2178
(770) 997-5714
(770) 997-2810
Mailing address
190 HANDLEY RD, TYRONE, GA 30290-2178
(770) 997-5714
(770) 997-2810

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
RN144694
GA
367A00000X
Advanced Practice Midwife
Primary
RN144694
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092104688A
GA
Enumeration date
07/25/2006
Last updated
11/11/2024
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