Individual
BRITTANY M CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1021 W OAKLAND AVE, SUITE 301, JOHNSON CITY, TN 37604-2191
(423) 952-8000
(423) 952-8001
Mailing address
1021 W OAKLAND AVE, SUITE 301, JOHNSON CITY, TN 37604-2191
(423) 952-8000
(423) 952-8001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00911
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4043132
BCBS
TN
01
—
TN01Q4
JOHN DEERE
TN
Enumeration date
04/17/2006
Last updated
07/08/2007
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