Individual
JOSE E ESPINEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
157 CLINIC AVE STE 302, CARROLLTON, GA 30117
(770) 834-3336
(770) 832-2331
Mailing address
119 AMBULANCE DR STE 202, CARROLLTON, GA 30117-3857
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
066288
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
08/29/2006
Last updated
06/11/2019
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