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Organization
RAVEH20 PSYCHIATRIC & MEDICAL SPECIALIST INC.
Active
Organization
RAVEH20 PSYCHIATRIC & MEDICAL SPECIALIST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY DAVIS (CEO)
(678) 744-2318
Entity
Organization
Contact information
Practice address
1680 MULKEY RD STE 200, AUSTELL, GA 30106-1364
(678) 744-2318
(770) 819-6826
Mailing address
1680 MULKEY RD STE 200, AUSTELL, GA 30106-1364
(678) 744-2318
(770) 819-6826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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