Provider Demographics
NPI:1255321428
Name:ESSLINGER, JEFFREY DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DAVID
Last Name:ESSLINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 COURTYARD DR.
Mailing Address - Street 2:STE A
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-8535
Mailing Address - Country:US
Mailing Address - Phone:770-386-5330
Mailing Address - Fax:770-382-7536
Practice Address - Street 1:300 COURTYARD DR.
Practice Address - Street 2:STE A
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8535
Practice Address - Country:US
Practice Address - Phone:770-386-5330
Practice Address - Fax:770-382-7536
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA45455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000802513BMedicaid
GAG98516Medicare UPIN
GA11BDSTJMedicare ID - Type Unspecified