Individual
JAMESON ANDREW ESTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3334 HIGHWAY 155, LOCUST GROVE, GA 30248-3513
(770) 228-5407
(770) 227-1430
Mailing address
5128 HERON BAY BLVD, LOCUST GROVE, GA 30248-7008
(678) 583-2111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048852
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000875025
—
GA
Enumeration date
02/23/2007
Last updated
05/16/2019
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