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HEATHER CANTRELL C.N.M.

>> Midwife >> Other Service Providers

Registrant NPI Number: 1255354114

Individual Registrant:
 HEATHER  CANTRELL C.N.M.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
190 HANDLEY RD  TYRONE, GA 30290-2178 US
Tel: 770-997-5714  Fax: 770-997-2810

Contact information for business:
190 HANDLEY RD  TYRONE, GA 30290-2178 US
Tel: 770-997-5714  Fax: 770-997-2810

Registration Information:
NPI: 1255354114
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y176B00000XOther Service Providers
Midwife
GARN144694

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
092104688AGA05




HEALTH CARE JOBS GA - Page 1



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