Individual provider · Type 1 NPI

Kerry Chester Diver, MD

Federally Qualified Health Center (FQHC) · Augusta, GA

NPI number 1790738904 Active

Practice location

1303 Dantignac St, Suite #1200
Augusta, GA 30901-2775

Call (706) 774-7760 Map

Fax (706) 774-7766

Mailing address

1 Freedom Way
Augusta, GA 30904-6258

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X23041 (GA)

Federally Qualified Health Center (FQHC): Definition to come...

22 other providers at this address

About NPI 1790738904

Kerry Chester Diver, MD's National Provider Identifier is 1790738904, issued on May 18, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Augusta, GA. The record was last updated on Dec 9, 2015.