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Individual

DR. JUSTIN ROSS ESTESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1020 BIG LANE DR, BROOKHAVEN, MS 39601-2331
(601) 823-8000
Mailing address
306 WESTSIDE LN NW, BROOKHAVEN, MS 39601-4532
(601) 573-6674

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22113
MS
208VP0014X
Interventional Pain Medicine Physician
Primary
22113
MS

Other

Enumeration date
08/11/2008
Last updated
04/23/2013
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