Basic Information
Provider Information
NPI: 1285661389
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESPER
FirstName: ANNETTE
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 746 MONROE DR NE
Address2: #2
City: ATLANTA
State: GA
PostalCode: 303081739
CountryCode: US
TelephoneNumber: 4043742835
FaxNumber: 4046168455
Practice Location
Address1: 49 JESSE HILL JR DRIVE
Address2:  
City: ATLANTA
State: GA
PostalCode: 30303
CountryCode: US
TelephoneNumber: 4046861000
FaxNumber: 4046168455
Other Information
ProviderEnumerationDate: 06/26/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X054776GAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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