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Organization

JOHN E CANTRELL MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN E CANTRELL M.D. (PRESIDENT)
(662) 832-1489
Entity
Organization

Contact information

Practice address
504 AZALEA DR, RADIAITON ONCOLOGY DEPARTMENT, OXFORD, MS 38655-5397
(662) 513-9699
Mailing address
PO BOX 160, ABBEVILLE, MS 38601-0160
(662) 832-1489

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
09091
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01252867
MS
Enumeration date
09/21/2012
Last updated
02/14/2017
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