Provider Demographics
NPI:1205873379
Name:HESTER, CHRISTOPHER E (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:E
Last Name:HESTER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 WINDY HILL RD SE
Mailing Address - Street 2:STE 250
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8665
Mailing Address - Country:US
Mailing Address - Phone:770-850-8464
Mailing Address - Fax:
Practice Address - Street 1:2550 WINDY HILL RD SE
Practice Address - Street 2:STE 250
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8665
Practice Address - Country:US
Practice Address - Phone:770-850-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA124645367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA491659961CMedicaid
GA491659961NMedicaid
GAP00267416OtherRAILROAD MEDICARE
GA491659961PMedicaid
GA491659961KMedicaid
GA491659961LMedicaid
GA491659961DMedicaid
GA491659961BMedicaid
GA491659961EMedicaid
GA491659961JMedicaid
GA491659961MMedicaid
GA43BBBGMMedicare ID - Type UnspecifiedMEDICARE
GAP00267416OtherRAILROAD MEDICARE
GA491659961MMedicaid
GA491659961PMedicaid