Provider Demographics
NPI:1700235496
Name:HEMBREE, HESS IV (CO-PRESIDENT)
Entity Type:Individual
Prefix:MR
First Name:HESS
Middle Name:
Last Name:HEMBREE
Suffix:IV
Gender:M
Credentials:CO-PRESIDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 PRAIRIE ST N
Mailing Address - Street 2:
Mailing Address - City:UNION SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:36089-1618
Mailing Address - Country:US
Mailing Address - Phone:334-296-1315
Mailing Address - Fax:
Practice Address - Street 1:156 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-5376
Practice Address - Country:US
Practice Address - Phone:601-855-5287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL193200000X208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice