Individual
RAVEN CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(404) 429-8377
Mailing address
1122 OAK KNOLL TER SE, ATLANTA, GA 30315-5214
(404) 429-8377
(404) 429-8377
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
11D2327258
GA
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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