Healthcare Provider Details

I. General information

NPI: 1821259607
Provider Name (Legal Business Name): KARI LEIGH ESBENSEN MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 LINDEN AVE NE
ATLANTA GA
30308
US

IV. Provider business mailing address

1365 CLIFTON RD NE STE B4000
ATLANTA GA
30322-1013
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-1900
  • Fax:
Mailing address:
  • Phone: 404-778-3313
  • Fax: 404-778-8584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number72822
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number72822
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number72822
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: