Cantrell, Heather

Cantrell, Heather is an individual health care provider with primary practice located at 190 Handley Rd , Tyrone GA 30290-2178. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Cantrell, Heather can be contacted via phone (770) 997-5714.

Contact Information

Primary practice address
190 Handley Rd Tyrone GA 30290-2178
Fax: (770) 997-2810
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X RN144694 Georgia

Profile Details

NPI number 1255354114
LBN Legal business name Cantrell, Heather
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255354114 NPPES
Georgia MEDICAID 092104688A

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