Doctor Name: | MR. HESS HEMBREE |
NPI Number: | 1700235496 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CO-PRESIDENT |
License Number: | 193200000X |
Business Practice Address: | 156 River Oaks Dr Canton, MS - 390465376 |
Business Phone Number: | 6018555287 |
Business Fax Number: | |
Mailing Address: | 205 Prairie St N, UNION SPRINGS |
State: | AL |
Postal Code: | 360891618 |
Phone Number: | 3342961315 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 193200000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |