Individual
THOMAS L ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.S.
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-9131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
020697
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000262721F
—
GA
05
—
00262721B
—
GA
01
—
020697
STATE LICENSE
GA
Enumeration date
02/24/2006
Last updated
07/28/2023
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