Anthony Coker Cantrell, MD | |
470 Northside Cherokee Blvd Ste 180, Canton, GA 30115-8029 | |
(770) 517-6636 | |
(770) 517-6568 |
Full Name | Anthony Coker Cantrell |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 470 Northside Cherokee Blvd Ste 180, Canton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508423328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 32640 (Mississippi) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 104759 (Georgia) | Primary |
Entity Name | Mississippi Sports Medicine & Orthopaedic Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568415560 PECOS PAC ID: 4981685310 Enrollment ID: O20040601000238 |
Mailing Address | Practice Location Address |
---|---|
Anthony Coker Cantrell, MD 450 Northside Cherokee Blvd, Canton, GA 30115-8015 Ph: (770) 224-1000 | Anthony Coker Cantrell, MD 470 Northside Cherokee Blvd Ste 180, Canton, GA 30115-8029 Ph: (770) 517-6636 |
Dr. Douglas B Widener, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1495 Hickory Flat Hwy Ste 200, Canton, GA 30115 Phone: 678-505-4455 Fax: 678-505-4446 | |
Dr. Douglas W Clanton, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 230 Marietta Hwy, Suite 100, Canton, GA 30114 Phone: 770-479-4777 Fax: 770-479-9491 | |
Dr. Brian Elliot Seng, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 160, Canton, GA 30115 Phone: 770-292-6500 Fax: 770-292-6535 |