Healthcare Provider Details

I. General information

NPI: 1861422305
Provider Name (Legal Business Name): DEBORAH A HESTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25117 HIGHWAY 15
UNION MS
39365-9088
US

IV. Provider business mailing address

PO BOX 3294
TUPELO MS
38803-3294
US

V. Phone/Fax

Practice location:
  • Phone: 601-774-8214
  • Fax: 601-774-5401
Mailing address:
  • Phone: 662-377-4394
  • Fax: 662-377-7045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number10442
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number10442
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: