Michael Cantrell (NPI# 1972627875, PAC ID# 2668415639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1972627875 |
| PAC ID by PECOS | 2668415639 |
| Professional Enrollment ID | I20080910000498 |
| Full Name | Michael Cantrell |
| Address |
2202 Salem Rd Se Suite B Conyers GA 30013-1843 |
| Phone Number | 6784780913 |
| Gender | M |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110079 | GRADY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 4046161000 | EMORY MEDICAL CARE FOUNDATION INC |
| 2202 Salem Rd Se, Suite B, Conyers, GA 30013-1843 | 6784780913 | |
| 1136 Cleveland Ave, Suite 305, East Point, GA 30344-3618 | 4048555750 |
| Street Address |
2202 SALEM RD SE SUITE B |
| City | CONYERS |
| State | GA |
| Zip | 30013-1843 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roopal A Desa | Internal Medicine | 3641 Ga Hwy 20 Se, Suite A, Conyers, GA 30013 | |
| Ndidi E Madu | Family Medicine | 1815 Hwy 138 Se, Suite 800, Conyers, GA 30013 | |
| Danielle Waters | Nurse Practitioner | 1810 Hwy 20 Se, Suite 172, Conyers, GA 30013 | |
| Douglas Robert Slavin | Clinical Psychologist | 1807 Over Lake Drive Se, Suite F, Conyers, GA 30013-1709 | |
| Linda B Hagan | Clinical Social Worker | Hagan Ziegler and Associates PC | 1814 Lakefield Se Ct, Suite A, Conyers, GA 30013-1776 |
| Kaushik Amin | Internal Medicine | 2035 Flat Shoals Serd, Conyers, GA 30013-1809 | |
| Marlyn Wallace | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Savonia Grant | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Farhana Quasem | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Masood H Siddiquee | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Find all physicians in zip 30013 | |||
| City | CONYERS |
| Zip Code | 30013 |
| Specialty | PODIATRY |
| City + Specialty | CONYERS + PODIATRY |
Please comment or provide details below to improve the information on Michael Cantrell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.