Provider Demographics
NPI:1043587629
Name:HESTER, CLIFTON L JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CLIFTON
Middle Name:L
Last Name:HESTER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 E LEAKE ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-4300
Mailing Address - Country:US
Mailing Address - Phone:601-924-7153
Mailing Address - Fax:601-924-9548
Practice Address - Street 1:607 E LEAKE ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-4300
Practice Address - Country:US
Practice Address - Phone:601-924-7153
Practice Address - Fax:601-924-9548
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-26
Last Update Date:2011-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS037372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology