Individual
KETA K STROTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 VEAZEY ST, UNION POINT, GA 30669-1237
(706) 486-4818
Mailing address
401 VEAZEY ST, UNION POINT, GA 30669-1237
(706) 486-4818
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
CN00300067613
GA
343900000X
Non-emergency Medical Transport (VAN)
Primary
051240261
GA
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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