IndividualActive
Phyllis Raulerson
NPI 1891071296 · Early Intervention Provider Agency · Patterson, GA
Provider details
- NPI number
- 1891071296
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
5955 Owens Road
Patterson, GA 31557
Phone: (912) 449-6906
Fax: (912) 449-4689
Approximate (ZIP-level) locationGet directions
Mailing address
5955 Owens Road
Patterson, GA 31557
Registry dates
- Enumerated
- 2011-10-30
- Last updated
- 2011-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.