DR. F. CLARK CANTRELL JR. (NPI# 1881641793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881641793 |
| Entity Type | Individual |
| Full Name | DR. F. CLARK CANTRELL JR. |
| Credential | M.D. |
| Practice Address |
707 Whitlock Ave Sw Suite F-2 Marietta GA 30064-3000 |
| Mailing Address |
5200 Dallas Hwy 200 Pmb 288 Powder Springs GA 30127-6318 |
| Practice Telephone | 7709439150 |
| Practice Fax Number | 8773474158 |
| Mailing Telephone | 7709439150 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 028948 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00382489A | 05 |
| Street Address |
707 WHITLOCK AVE SW SUITE F-2 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346298015 | Scott Perlman | Chiropractor | 707 Whitlock Ave Sw, Ste. E14, Marietta, GA 30064-3000 | 2006-05-05 |
| 1184178857 | Lenora Mckeown | Counselor | 707 Whitlock Ave Sw, Suite H-11, Marietta, GA 30064-3000 | 2016-08-10 |
| 1710330790 | Soleil Counseling and Consulting, LLC | Counselor | 707 Whitlock Ave Sw, Suite H-11, Marietta, GA 30064-3000 | 2016-07-14 |
| 1669831798 | Courtney Johnson | Counselor | 707 Whitlock Ave Sw, Suite H-11, Marietta, GA 30064-3000 | 2016-02-17 |
| 1124418983 | Kelli Cortes | Social Worker | 707 Whitlock Ave Sw, Suite H-11, Marietta, GA 30064-3000 | 2015-02-02 |
| 1467862136 | Tawanna Lewis | Counselor | 707 Whitlock Ave Sw, Suite H11, Marietta, GA 30064-3000 | 2014-05-05 |
| 1548526866 | Tita Marie Green | Counselor | 707 Whitlock Ave Sw, Suite H-11, Marietta, GA 30064-3000 | 2012-04-11 |
| 1407136146 | Fanike Kiara Olugbala | Social Worker | 707 Whitlock Ave Sw, Suite H-11, Marietta, GA 30064-3000 | 2011-08-25 |
| 1962655514 | Open Door Pediatric Therapy Services | Clinic/Center | 707 Whitlock Ave Sw, Suite A-41, Marietta, GA 30064-3000 | 2008-10-28 |
| 1942403142 | Victoria Epp | Social Worker | 707 Whitlock Ave Sw, Suite H-11, Marietta, GA 30064-3000 | 2007-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073168522 | Richard Rhodes | Pediatrics | 2155 Post Oak Tritt Rd Ste 100, Marietta, GA 30062-1651 | 2019-08-01 |
| 1437718566 | Rahmath Althaf | Pediatrics | 300 Grand Manor Dr, Marietta, GA 30068-3688 | 2019-06-12 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1376075481 | Julia Johnson Lovin | Pediatrics | 1810 Baldwin Farms Dr, Marietta, GA 30068-1556 | 2017-03-28 |
| 1912244484 | Edgar Allen Vaughan Jr. | Pediatrics | 575 Saint Annes Rd Nw, Marietta, GA 30064-1441 | 2013-01-03 |
| 1104125764 | Alison G. Ball | Pediatrics | 1405 Franklin Gtwy Se, Marietta, GA 30067-8721 | 2011-03-22 |
| 1679885230 | Carrie Ann Stinson | Pediatrics | 677 Church St Ne # 100p, Marietta, GA 30060-1101 | 2010-07-11 |
| 1720273782 | Tina M Smith | Pediatrics | 310 E 8th St Ste 130, Marietta, OH 45750-3379 | 2007-09-12 |
| 1295939627 | Maren Elizabeth Bear | Pediatrics | 677 Church St Ne Ste 100p, Marietta, GA 30060 | 2007-06-11 |
| 1831236546 | Elizabeth Gouri Garrot | Pediatrics | 1880 West Oak Pkwy, Suite 101, Marietta, GA 30062 | 2007-01-31 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.