Mr. Forrest Clark Cantrell Jr.
M.D. | Pediatrics | Male
Mr. Forrest Clark Cantrell Jr., M.D. is a Marietta, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Forrest Clark Cantrell Jr. is
3515 Dallas Hwy, Ste C, Marietta, Georgia - 30064. He can be contacted on phone at
770-943-9150 and fax number 770-212-0276.
Mr. Forrest Clark Cantrell Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Forrest Clark Cantrell Jr. is
1881641793 which was assigned by NPPES on 27 May, 2006 and it was last updated on 10 May, 2023.
Mr. Forrest Clark Cantrell Jr. license number is
028948 for Pediatrics (208000000X) in Georgia.
Mr. Forrest Clark Cantrell Jr. is a pediatrician who 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.
Complete Profile:
Mr. Forrest Clark Cantrell Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Forrest Clark Cantrell Jr. |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Mr. Forrest Clark Cantrell Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3515 Dallas Hwy, Ste C
Marietta, GA, 30064
United States |
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| Phone Number : | 770-943-9150 |
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| Fax Number : | 770-212-0276 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881641793 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 May, 2006 |
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| Last Updated On : | 10 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Forrest Clark Cantrell Jr. are as mentioned. Primary taxonomy code for Mr. Forrest Clark Cantrell Jr., M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 028948 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Forrest Clark Cantrell Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000382489G | MEDICAID | GA | |
| 00382489A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5200 Dallas Hwy, Ste 200
Powder Springs, GA, 30127-6318
United States |
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| Phone Number : | 770-943-9150 |
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| Fax Number : | 770-212-0276 |
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Business Location:
Patients can refer following map for directions to
Mr. Forrest Clark Cantrell Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.