Individual
THOMAS LANE ESTES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, GEORGIA REGENTS MEDICAL ASSOCIATES, AUGUSTA, GA 30912-0004
(336) 716-2255
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(336) 765-5462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
069803
GA
Other
Enumeration date
04/13/2007
Last updated
09/18/2013
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