MEDICARE: DR. DONNA ELIZABETH CANTRELL N.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	NT00001582	WA

General Provider Information

NPI Number	:	1992933246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA ELIZABETH CANTRELL N.D.

Provider Business Mailing Address
First Line	:	2008 WYNNTON RD
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	GA
Zip	:	31906-2407
Country	:	US
Telephone Number	:	706-507-0407
Fax Number	:	706-507-0779

Provider Business Practice Location Address
First Line	:	2008 WYNNTON RD
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	GA
Zip	:	31906-2407
Country	:	US
Telephone Number	:	706-507-0407
Fax Number	:	706-507-0779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	12/07/2016

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