Healthcare Provider Details

I. General information

NPI: 1548192560
Provider Name (Legal Business Name): CHANTEL STRAHORN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA GA
30060-1158
US

IV. Provider business mailing address

4374 SAHARA DR NW
KENNESAW GA
30144-5190
US

V. Phone/Fax

Practice location:
  • Phone: 877-366-6032
  • Fax:
Mailing address:
  • Phone: 937-213-2888
  • Fax: 937-213-2888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRPH035175
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: