Organization
GREGORY H ESSELMAN MD LLC
Active
Organization
GREGORY H ESSELMAN MD LLC
Active
Other names
Aiken ENT
Organization subpart
No
Provider details
NPI number
Authorized official
JAMMIE L SPARKS CPC (BILLING SUPERVISOR)
(706) 868-5676
Entity
Organization
Contact information
Practice address
121 AURORA PLACE, SUITE B, AIKEN, SC 29801-3000
(706) 868-5676
(706) 722-2824
Mailing address
340 NORTH BELAIR ROAD, EVANS, GA 30809-3000
(706) 868-5676
(706) 722-2824
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
29469
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29469
STATE MEDICAL LICENSE
SC
05
—
GP4625
—
SC
Enumeration date
01/02/2007
Last updated
03/10/2015
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