Provider Demographics
NPI:1386648277
Name:HESS, RANDALL G (DO)
Entity Type:Individual
Prefix:
First Name:RANDALL
Middle Name:G
Last Name:HESS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2700 10TH AVE S
Mailing Address - Street 2:STE 305
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1248
Mailing Address - Country:US
Mailing Address - Phone:205-939-0139
Mailing Address - Fax:205-939-4997
Practice Address - Street 1:150 GILBREATH DR
Practice Address - Street 2:SUITE 102
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-2827
Practice Address - Country:US
Practice Address - Phone:205-274-3323
Practice Address - Fax:205-274-3396
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2013-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALDO-34207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALD32792Medicare UPIN