Individual
DHRUTI PRASHANT DIWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912-3529
(706) 721-0180
Mailing address
1120 15TH ST AUGUSTA BI 2144, AUGUSTA, GA 30912-0001
(706) 721-0180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12018
GA
Other
Enumeration date
06/13/2020
Last updated
08/25/2025
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