Individual
JOEL MATTHIAS BIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
100353
GA
208600000X
Surgery Physician
52662
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526620
—
SC
01
—
SCP6317628
MEDICARE PIN
SC
Enumeration date
06/28/2018
Last updated
07/16/2024
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