RAVEN WEST

ATLANTA, GA
NPI1912696717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  12956)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-05
Last Update Date2025-03-25
Business Address
RAVEN WEST PA-C
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 615-738-7516
Mailing Address
RAVEN WEST PA-C
763 PLANTATION WAY
GALLATIN, TN 37066-7495
Phone number: 615-738-7516