Individual
MRS. MICHELLE R ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 37660-4634
(423) 224-3933
(423) 224-3934
Mailing address
2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 37660-4634
(423) 224-3933
(423) 224-3934
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40659
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033156211
—
VA
05
—
Q003284
—
TN
Enumeration date
05/31/2006
Last updated
02/01/2017
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