Doctor Name: | JIRO ESAKI |
NPI Number: | 1164726345 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1365 Clifton Rd Ne Atlanta, GA - 303221013 |
Business Phone Number: | 4047783836 |
Business Fax Number: | |
Mailing Address: | 101 Paddock Ct Se, MARIETTA |
State: | GA |
Postal Code: | 300674923 |
Phone Number: | 6784576589 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2011 |
NPI Last Update Date: | 01/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |