person
Dr. Kerry Chester Diver, MD
Federally Qualified Health Center (FQHC) in Augusta, Georgia
NPI 1790738904

Kerry Chester Diver is a Federally Qualified Health Center (FQHC) based in Augusta, GA and is specialized in Federally Qualified Health Center (FQHC). Kerry Chester Diver practices in Augusta, GA and has the professional credentials of MD. The NPI Number for Kerry Chester Diver is 1790738904 and holds a License No. 23041 (Georgia).

The current practice location address for Kerry Chester Diver is 1303 Dantignac St, Augusta, GA and can be reached out via phone at 706-774-7760 and via fax at 706-774-7766.

Location: 1303 Dantignac St, Augusta, GA, 30904-6258
person
Provider Profile Details
NPI Number
1790738904
Provider Name
Kerry Chester Diver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1303 Dantignac St, Augusta, GA, 30904-6258
Phone Number
706-774-7760
Fax Number
706-774-7766
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1303 Dantignac St
City
State
Zip
30901-2775
Phone Number
706-774-7760
Fax Number
706-774-7766
person
Provider Business Mailing Address Details
Address
1303 Dantignac St
City
State
Zip
30901-2775
Phone Number
706-774-7760
Fax Number
706-774-7766
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
23041 (Georgia)
Definition
Definition to come...
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