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NPI Code Detail

MEDICARE: QUENTRIUS ELISHA STROTHER

MEDICARE: QUENTRIUS ELISHA STROTHER
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1578419974
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUENTRIUS ELISHA STROTHER
Provider Business Mailing Address
First Line : 1650 N ROBERTS RD NW APT 3410
Second Line :
City : KENNESAW
State : GA
Zip : 30144-3785
Country : US
Telephone Number : 404-583-2341
Fax Number :
Provider Business Practice Location Address
First Line : 60 N 36TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5639
Country : US
Telephone Number : 215-895-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ QUENTRIUS ELISHA STROTHER ” Practice Location

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