Search › Georgia › 171M00000X
Othell Raven
NPI 1316734791 · on the registry since 2025
Practice
- Address
- 1319 W Broad Ave
Albany, GA 31707 - Phone
- (229) 496-9147
- Fax
- (229) 496-9258
- Organisation at this address
- Ventures Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 6605 Abercorn St Ste 105a, Savannah, GA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 3747P1801X
374U00000X
376K00000X - Sex
- Female
- Record last updated
- 2025-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia