Individual
DR. ELEANOR SUE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
134 ROBERTS AVE SW, WISE, VA 24293-5800
(276) 328-8000
(276) 376-1020
Mailing address
134 ROBERTS AVE SW, WISE, VA 24293-5800
(276) 328-8000
(276) 376-1020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101036912
VA
2083P0901X
Public Health & General Preventive Medicine Physician
0101036912
VA
Other
Enumeration date
03/07/2006
Last updated
03/02/2012
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