Individual provider · Type 1 NPI

Juanita Thompson-Quattlebaum, MD

Student in an Organized Health Care Education/Training Program · Canton, OH

NPI number 1609704949 Active

Practice location

2600 7th St SW
Canton, OH 44710-1801

Call (330) 363-4922 Map

Fax (330) 363-4914

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X57.260699 (OH)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609704949

Juanita Thompson-Quattlebaum, MD's National Provider Identifier is 1609704949, issued on May 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canton, OH. The record was last updated on May 8, 2026.