Physician Compare National (NPI:1417996117)

HEALTHCARE PROVIDER: CAROL R CANTRELL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1417996117
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658554852
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110325000273
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CANTRELL
	Individual professional last name
Provider First Name	CAROL
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2304 MEMORIAL BLVD
	Group Practice or individual's line 1 address
City	SPRINGFIELD
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	371723929
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6153848133
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440065
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHCREST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y