Individual
MATTHEW LEE ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
148 BILL CARRUTH PKWY STE 220, HIRAM, GA 30141
(770) 505-0023
(770) 505-9003
Mailing address
148 BILL CARRUTH PKWY STE 220, HIRAM, GA 30141-3756
(770) 505-0023
(770) 505-9003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN184263
GA
363LF0000X
Family Nurse Practitioner
RN184263
GA
Other
Enumeration date
04/26/2015
Last updated
09/05/2018
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