Individual
TABITHA ESTICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 651-3232
Mailing address
PO BOX 2772, EVANS, GA 30809-2772
(561) 412-9155
(561) 548-1459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95365
GA
Other
Enumeration date
04/02/2020
Last updated
12/05/2024
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