Individual
PRIYANKA RAVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-6744
Mailing address
1120 15TH STREET, BAA 5407, AUGUSTA, GA 30912-3001
(706) 721-2505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011012664
MO
207RH0003X
Hematology & Oncology Physician
Primary
78222
GA
Other
Enumeration date
07/19/2011
Last updated
04/07/2026
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