Cantrell Lake Inpatient Services LLC
Organization Active NPI Hospitalist Physician · Bremen, GA
NPI 1497281133 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1497281133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- CANTRELL LAKE INPATIENT SERVICES LLC
- Practice address
- 200 Allen Memorial Dr
Bremen, GA 30110-2012 - Phone
- (973) 251-1132
- NPI assigned
- May 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Karen Vaughn
- Title
- Officer
- Phone
- (404) 450-4684
Practitioners 1
-
Gregory J Byrne, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
200 Allen Memorial Dr
Bremen, GA 30110-2012
Mailing address
13737 Noel Rd
1600
Dallas, TX 75240-1331
Phone (973) 251-1132
Other providers in Bremen, GA
- Bremen Family Health and Wellness
- Bremen Family Medicine
- Christopher Brimeyer
- Chasity Cowart Brock
- Jamie Leigh Brown
- Lindsay Ballard Capps
- Donna B Carnes
- Carrollton Orthopaedic Clinic PC
- Carrollton Surgical Group, P. a.
- CHC - Haralson Nursing & Rehab Ctr, LLC
All providers in Bremen, GA · Hospitalist Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.