Provider Demographics
NPI:1528015443
Name:HESTER, JAMES K (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:K
Last Name:HESTER
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 1:1090 5TH ST SE
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GA
Mailing Address - Zip Code:39828-3139
Mailing Address - Country:US
Mailing Address - Phone:229-377-1100
Mailing Address - Fax:229-377-8872
Practice Address - Street 1:1090 5TH ST SE
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:GA
Practice Address - Zip Code:39828-3139
Practice Address - Country:US
Practice Address - Phone:229-377-1100
Practice Address - Fax:229-377-8872
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA028785207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000345727BMedicare ID - Type Unspecified
GAD40132Medicare UPIN