Organization · Type 2 NPI
Ravik Foundation Inc.
Community Health Clinic/Center · Conyers, GA
NPI number
1871131813
Active
Practice location
1343 Business Center Dr SW Ste B
Conyers, GA 30094-6609
Mailing address
4715 Cleveland Rd
Lithonia, GA 30038-2610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Social Worker | 104100000X | None listed |
| Chiropractor | 111N00000X | None listed |
| Nutrition Education Nutritionist | 133NN1002X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Home Modifications Contractor | 171WH0202X | None listed |
| Pediatric Sports Medicine Physician | 2080S0010X | None listed |
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | None listed |
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
About NPI 1871131813
Ravik Foundation Inc.'s National Provider Identifier is 1871131813, issued on Dec 19, 2019. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Conyers, GA. The record was last updated on Jan 6, 2020.