Organization
WILLIAM H. CANTEY M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H CANTEY MD (PRESIDENT)
(912) 367-0355
Entity
Organization
Contact information
Practice address
510 S MAIN ST, SUITE A, BAXLEY, GA 31513-0181
(912) 367-0355
(912) 367-0118
Mailing address
PO BOX 368, BAXLEY, GA 31515-0368
(912) 367-0355
(912) 367-0118
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
055731
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
667242399A
—
GA
Enumeration date
05/22/2012
Last updated
05/22/2012
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