Individual
MR. RANJIT S DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3520 WALTON WAY EXT, AUGUSTA, GA 30909-6605
(706) 481-9191
(706) 481-9197
Mailing address
3520 WALTON WAY EXT, AUGUSTA, GA 30909-6605
(706) 481-9191
(706) 481-9197
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
038466
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
038466
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00616943F
—
GA
05
—
G38466
—
SC
Enumeration date
09/21/2005
Last updated
02/09/2021
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