Individual
MEAGAN CANTRELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5660
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-5853
MS
208000000X
Pediatrics Physician
T-5853
MS
Other
Enumeration date
02/15/2024
Last updated
01/13/2026
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