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Organization

LIQUID GOLD STANDARD PERINATAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ATALYA RAJAHN MPH, IBCLC (OWNER)
(470) 422-0589
Entity
Organization

Contact information

Practice address
122 S MAIN ST, JONESBORO, GA 30236-3530
(470) 422-0589
Mailing address
1595 KIDD RD, JONESBORO, GA 30236-3365

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
363L00000X
Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
10/08/2025
Last updated
10/08/2025
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