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Individual

MR. DHAVAL V ADHVARYU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(706) 863-9595
(706) 868-8385
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(706) 868-8375

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
102672
GA
208600000X
Surgery Physician
MD15173R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003319739A
GA
05
1161314
LA
Enumeration date
08/13/2006
Last updated
03/31/2025
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