Brandon Cantrell in Macon - Physician Assistant
Brandon Cantrell - NPI 1891994786
Brandon Cantrell is a Physician Assistant in Macon, Georgia. Brandon Cantrell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brandon Cantrell is 1891994786. The last update date is 2019-02-27.
Brandon Cantrell's current location address is 3708 Northside Dr, Macon, Georgia. You can contact this provider via phone number 4787454206. The mailing address for Brandon Cantrell is 3708 Northside Dr, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Cantrell |
|---|---|
| Address | 3708 Northside Dr, Macon, Georgia |
| Phone Number | 4787454206 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1891994786 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2019-02-27 |
Provider Mailing Address Detail
| Address | 3708 Northside Dr |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312102404 |
| Phone Number | 4787454206 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1580 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 265457125A | GA | -- | |
| 1580 | GA | STATE BOARD OF MEDICAL EX | |
| P00447610 | MEDICARE RAILROAD PTAN |
Post Comment/ Review Below
What is the Brandon Cantrell's 1891994786?
The Brandon Cantrell's NPI (National Provider Identifier) Number is 1891994786. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brandon Cantrell is physically located?
The Brandon Cantrell is physically situated at the following address: 3708 Northside Dr, Macon, GA, 312102404.
What is Brandon Cantrell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brandon Cantrell's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891994786 to Brandon Cantrell?
The Brandon Cantrell received its 1891994786 assignment from the Centers for Medicare & Medicaid Services on 2007-07-12.
When was the information related to Brandon Cantrell most recently updated or refreshed?
The details pertaining to the Brandon Cantrell, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-02-27.