| Heather Cantrell, CNM | |
|
190 Handley Rd, Tyrone, GA 30290-2178 | |
| (770) 997-5714 | |
| (770) 997-2810 |
| Full Name | Heather Cantrell |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 24 Years |
| Location | 190 Handley Rd, Tyrone, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255354114 | NPI | - | NPPES |
| 092104688A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN144694 (Georgia) | Primary |
| 176B00000X | Midwife | RN144694 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wmc Tyrone Llc | 7113090705 | 6 |
| Entity Name | Wmc Tyrone Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033132998 PECOS PAC ID: 7113090705 Enrollment ID: O20080715000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Cantrell, CNM 190 Handley Rd, Tyrone, GA 30290-2178 Ph: (770) 997-5714 | Heather Cantrell, CNM 190 Handley Rd, Tyrone, GA 30290-2178 Ph: (770) 997-5714 |
Jill Harris, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 Fax: 770-997-2844 | |
Savannah Claire Thomley, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 | |
Christine Taylor, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 130 Howell Rd Ste D, Tyrone, GA 30290 Phone: 678-915-8281 | |
Mrs. Margery Mcmichael Carr, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 Fax: 770-997-2844 | |
Katherine Cook, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 | |
Yakirah Lee, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd, Suite A, Tyrone, GA 30290 Phone: 770-997-5714 |