Healthcare Provider Details

I. General information

NPI: 1043290349
Provider Name (Legal Business Name): BENJAMIN C HESTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 INDEPENDENT DR
RAINBOW CITY AL
35906-3286
US

IV. Provider business mailing address

170 INDEPENDENT DR
RAINBOW CITY AL
35906-3286
US

V. Phone/Fax

Practice location:
  • Phone: 256-413-1467
  • Fax: 256-413-1470
Mailing address:
  • Phone: 256-413-1467
  • Fax: 256-413-1470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number3346
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: