Individual
DR. DIWAKAR NAGULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
88 LINDSEY LN STE B, KINGSLAND, GA 31548-6856
(912) 673-7074
Mailing address
PO BOX 758, KINGSLAND, GA 31548-0758
(912) 673-7074
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
053005
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
053005
GA
Other
Enumeration date
09/14/2006
Last updated
09/11/2025
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