Forrest Clark Cantrell Jr., M.D.

Pediatrics Physician · Marietta, GA

Individual Active NPI

NPI number 1881641793

Practice location

3515 Dallas Hwy
Ste C
Marietta, GA 30064
Phone
(770) 943-9150
Fax
(770) 212-0276

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NPI record

NPI
1881641793
Entity type
Individual (Type 1)
Enumeration date
May 27, 2006
Last updated
May 10, 2023
Certified
May 10, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 028948 GA

Mailing address

5200 Dallas Hwy
Ste 200
Powder Springs, GA 30127-6318
Phone
(770) 943-9150
Fax
(770) 212-0276

About Dr. Cantrell

Forrest Clark Cantrell Jr., M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 3515 Dallas Hwy, Ste C, Marietta, GA 30064. The NPI number 1881641793 was assigned on May 27, 2006 and the record was last updated on May 10, 2023.

Dr. Cantrell lists a license in the registry: #028948 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Forrest Clark Cantrell Jr., M.D.?

The NPI number is 1881641793.

What is the phone number of Dr. Cantrell?

The phone number listed for the practice location is (770) 943-9150.

Where is Dr. Cantrell located?

3515 Dallas Hwy, Ste C, Marietta, GA 30064.

What is the taxonomy code for Dr. Cantrell?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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