Individual
ANTHONY COKER CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 180, CANTON, GA 30115-8029
(770) 517-6636
(770) 517-6568
Mailing address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
32640
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
104759
GA
Other
Enumeration date
05/28/2019
Last updated
08/02/2025
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