Provider Demographics
NPI:1336329861
Name:HESTER, BILL RANDLE (DC)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:RANDLE
Last Name:HESTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30281 LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:NETTLETON
Mailing Address - State:MS
Mailing Address - Zip Code:38858-8906
Mailing Address - Country:US
Mailing Address - Phone:662-963-0127
Mailing Address - Fax:
Practice Address - Street 1:30281 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:NETTLETON
Practice Address - State:MS
Practice Address - Zip Code:38858-8906
Practice Address - Country:US
Practice Address - Phone:662-963-0127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0475111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor