Individual
DR. CAROL R CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2304 MEMORIAL BLVD, SPRINGFIELD, TN 37172-3929
(615) 384-8133
(615) 384-8199
Mailing address
2304 MEMORIAL BLVD, SPRINGFIELD, TN 37172-3929
(615) 384-8133
(615) 384-8199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD018063
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3037764
—
TN
01
—
3136613
BLUECROSS BLUESHIELD
TN
Enumeration date
06/06/2006
Last updated
08/08/2017
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