Individual
AMY JOHNSTON ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-1160
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30912-0004
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2011-00855
NC
207W00000X
Ophthalmology Physician
69111
GA
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
69111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918156
—
NC
Enumeration date
04/10/2007
Last updated
02/28/2019
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