Individual
RAVEN BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2200 N PATTERSON ST, VALDOSTA, GA 31602-2597
(229) 244-1707
Mailing address
87 ELEANOR PL, RAY CITY, GA 31645-3722
(229) 560-1172
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN222743
GA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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