Provider Demographics
NPI:1881771830
Name:HESSE, RAYMOND D (MD INT MED & GERI)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:D
Last Name:HESSE
Suffix:
Gender:M
Credentials:MD INT MED & GERI
Other - Prefix:
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Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29802-0215
Mailing Address - Country:US
Mailing Address - Phone:803-648-7888
Mailing Address - Fax:803-648-3302
Practice Address - Street 1:410 UNIVERSITY PKWY
Practice Address - Street 2:AIKEN INTERNAL MED PA STE 2500
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6810
Practice Address - Country:US
Practice Address - Phone:803-648-7888
Practice Address - Fax:803-648-3302
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC7416207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC110048686OtherRAILROAD MEDICARE
SC074163Medicaid
C60708Medicare UPIN
C607083498Medicare ID - Type Unspecified