Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cantrell Lake Inpatient Services LLC

Organization Hospitalist Physician · NPI 1497281133

Cantrell Lake Inpatient Services LLC is a Hospitalist Physician in Bremen, Georgia. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone: (973) 251-1132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1497281133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (404) 450-4684
NPI enumeratedMay 1, 2017
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address13737 Noel Rd, 1600, Dallas, TX 75240-1331