Individual
DIVYA CHAWLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-8197
(706) 721-2371
Mailing address
750 MILTON OAKS DR, ALPHARETTA, GA 30022-8197
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DN122831
GA
Other
Enumeration date
03/01/2022
Last updated
09/04/2022
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