| Doctor Name: | MR. TIMOTHY DUNCAN ESTES |
| NPI Number: | 1285746511 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 09740 |
| Business Practice Address: | 2860 Mcdowell Road Ext Jackson, MS - 392044238 |
| Business Phone Number: | 6013721117 |
| Business Fax Number: | 6013733004 |
| Mailing Address: | 2860 Mcdowell Road Ext, JACKSON |
| State: | MS |
| Postal Code: | 392044238 |
| Phone Number: | 6013721117 |
| Fax Number: | 6013733004 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 04/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 09740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |