Individual
MADDY RAVENSCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WOODLAND DR APT 1024, STATESBORO, GA 30458-7796
(770) 508-4904
Mailing address
100 WOODLAND DR APT 1024, STATESBORO, GA 30458-7796
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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