Individual
PRIYA DHARSHINI RAVINDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5795
(706) 774-5792
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 854-6008
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
064449
GA
207RG0100X
Gastroenterology Physician
Primary
64449
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100276A
—
GA
Enumeration date
05/05/2006
Last updated
07/12/2021
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