Individual
JASON ALLEN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
647 MYATT DR, MADISON, TN 37115-2125
(615) 868-8942
Mailing address
647 MYATT DR, MADISON, TN 37115-2125
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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