Provider Demographics
NPI:1518971621
Name:CANTEY, PAUL TEIGE (MD, MPH)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:TEIGE
Last Name:CANTEY
Suffix:
Gender:M
Credentials:MD, MPH
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:49 JESSE HILL JR DR SE
Mailing Address - Street 2:FACULTY OFFICE BLDG, SUITE 472
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3049
Mailing Address - Country:US
Mailing Address - Phone:404-778-1615
Mailing Address - Fax:404-778-1602
Practice Address - Street 1:80 JESSE HILL JR DR SE
Practice Address - Street 2:GRADY PRIMARY CARE CENTER
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3031
Practice Address - Country:US
Practice Address - Phone:404-616-4396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047712207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH41565Medicare UPIN