Organization
ASHWINS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIRINDRA RAVAL M.D. (OWNER)
(501) 766-0539
Entity
Organization
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 446-5941
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
078222
GA
Other
Enumeration date
07/11/2016
Last updated
07/26/2018
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