Individual
MR. ARTHUR L RAVEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
205 E CHURCH ST, AMERICUS, GA 31709-3603
(229) 942-3186
Mailing address
205 E CHURCH ST, AMERICUS, GA 31709-3603
(229) 942-3186
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN093253
GA
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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