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1790738904
KERRY CHESTER DIVER
AUGUSTA, GA
NPI
1790738904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
(Licence: GA 23041)
Enumeration Date
2006-05-18
Last Update Date
2015-12-09
Business Address
Dr. KERRY CHESTER DIVER M.D.
1303 DANTIGNAC ST SUITE #1200
AUGUSTA, GA 30901-2775
Phone number: 706-774-7760
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Mailing Address
Dr. KERRY CHESTER DIVER M.D.
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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