Individual
DIWAN MAJORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2370 CANDLER RD, DECATUR, GA 30032-6406
(404) 936-4185
Mailing address
106 FLIPPEN RD, STOCKBRIDGE, GA 30281-3537
(404) 287-8915
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
BR017854
GA
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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