Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KERRY CHESTER DIVER, M.D.
ActiveDR. KERRY CHESTER DIVER, M.D. is a Federally Qualified Health Center healthcare provider located in AUGUSTA, Georgia. NPI 1790738904 is currently active in the NPPES registry. Verify at CMS.
Federally Qualified Health Center · AUGUSTA, GA
Registration Details
- NPI Number
- 1790738904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (20.273442291488 yrs)
- Last Updated
- Dec 9, 2015
- License
-
23041 (GA)
Practice Information
- Address
-
1303 DANTIGNAC STSUITE #1200AUGUSTA, GA, 309012775Browse GA providers · Browse ZIP 30901
- Phone
- 7067747760
- Fax
- 7067747766
- Primary Specialty
-
Federally Qualified Health Center
261QF0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.