Individual
DR. DAVID THEODORE ESTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1326 EISENHOWER DR, SAVANNAH, GA 31406-3928
(912) 691-4200
(912) 691-4209
Mailing address
1326 EISENHOWER DR, SAVANNAH, GA 31406-3928
(912) 691-4200
(912) 691-4209
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
037198
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000558082G
—
GA
05
—
165314
—
SC
01
—
P00231505
RR MEDICARE
GA
Enumeration date
07/18/2005
Last updated
06/25/2008
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